SEARCH:    
USER NAME:      
PASSWORD:    
 
  Home
  Connect
  MyCALPELRA
 = Membership
  Conference
  Exhibitor
  Sponsor
  Academy
  Learn
  News Clips!
  Job Board
  FactCheck
  Resources
  About Us
 
 
 
 
 

CALPELRA Membership Application And Annual Dues Payment For 2010-2011
(Membership Year July 1, 2010, through June 30, 2011)

Thank you for your interest in a 2010-2011 CALPELRA membership. The 2010-2011 membership year begins on July 1, 2010, and ends on June 30, 2011. CALPELRA does not prorate memberships.

SPECIAL OFFER: New membership applications for the 2010-2011 membership year, submitted and paid now, will be made active immediately. Click here to learn more about membership pricing.

Click here to learn more about membership benefits. Thank you for your application and dues payment.

If your agency requires you to process a paper registration form, please use this Printer Friendly PDF.

If you are already a CALPELRA member, please log-in to renew your membership and confirm the information we have for you:

Username:    Password:    SUBMIT LOGIN

If you are applying for membership for the first time, or after your previous membership has lapsed, please fill out the form below:
SUBMIT

Members contact each other for advice through our password-protected Member Directory. Choose the information you would like to share with other members by clicking the boxes below:

Prefix:* First or Nickname: * Last: *
Job Title: *
Job Responsibilities Description:*
Date of Hire: (e.g., 01/01/2004)
 Date began this titled role:
Agency:*
 Agency Category:*
Department:
Address:*
City:*
 State:* Zip:*
Phone:*
 Participant E-mail:*
Cell Phone or Alt. Number:
 Share Confirmation E-mail with:
Fax:
 Agency Web Site:
Membership Type

Membership type I am applying for: *
Member 2010-2011 (Annual Dues $350) 
Friend 2010-2011 (Annual Dues $395) 
Retiree Member 2010-2011 (Annual Dues $200) 
Student Member 2010-2011 (Annual Dues $85) 
Next Steps
1: Please carefully review your entries above and then click the Submit button below to apply for CALPELRA membership.
2: Go to the following screen, which will give you membership dues payment options.
3: The next screen will ask you to upload a digital photograph of yourself (if you have one) to include in CALPELRA's Member Directory.
If you have any questions, please contact the CALPELRA Executive Office at (650) 688-2700.

* Indicates a required field.
SUBMIT

CALPELRA USE ONLY
  Registration Form Rec'd _________________________     Postmark Dated _________
  Business Check # _______ Amount Due _______ Paid _____ Date Rec'd __________
  Personal Check # _______ Amount Due _______ Paid _____ Date Rec'd __________
  Zero Balance Recorded On _______________ Balance Due $ __________

    

l