Membership Form

Membership Form 2017-03-03T17:00:21+00:00

Mayor:*
City Hall Address 1:
City Hall Address 2:
City:*
State:*
Zip Code:
Phone:*
Fax:
E-Mail:
USCM Contact:
USCM Contact E-Mail:
City Web Site:
Party:
Gender:
Ethnicity:
Link to Mayor’s Bio:
Election Date:
Expiration Date of Mayoral Term:
Population / Membership Fee:
Please Bill My City By: calendar year fiscal year


Enter the code on the right.

* denotes mandatory information.