Please fill out the membership form below, hit the "Submit" button, then proceed to the "Payment Options" section below. Membership will extend through December 31, 2017.
Members renewing for 2017 do not need to fill out another membership form, unless your information has changed. Please continue to the payment section to submit your dues.
A PDF Membership Form
is available for those who would like to print and mail a copy.
Please complete and submit the above membership form prior to submitting your payment (for renewals, no need to resubmit your membership form, unless there is a change in your information).
Please make the check payable to Cumberland Chapter of URISA
and mail it to:
James McCallon, Treasurer - Cumberland Chapter of URISA
c/o PRIME AE Group, Inc.
9300 Shelbyville Road, Suite 905
Louisville, KY 40222