New Membership Application Central Illinois Municipal Clerks Organization

(Please submit one form for each individual)

Member Information:

Results of the most recent census, or an estimate
What year were you hired, appointed, or elected to your current position
specify 'other' title
Elected/Appointed
Do you wish to provide your personal address and/or contact information? (Note this is for internal use only) *
not required

Membership Details:

I am a member of the following Clerks organizations:
I am interested in serving on a CIMCO committee immediately (if there is an opening) or during the next fiscal year.
Committees
There are topics related to Clerks duties that I would be interested in learning more about.
CIMCO Bylaws

Final Step:

Annual Dues in the amount of $30.00 shall be sent to the CIMCO Treasurer.

Make checks payable to: CENTRAL ILLINOIS MUNICIPAL CLERKS ORGANIZATIONS (CIMCO)

Annual Dues Acknowledgement *

I wish to submit this application for new membership to the Central Illinois Municipal Clerks Organization, and I declare my status as a duly elected or appointed Municipal Clerk, Deputy Clerk, or Assistant Clerk in the State of Illinois.

Signature
If you wish to physically sign the application form, please download the PDF document and follow the instructions.
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