SPSSC Membership Update Form
Please use this form to submit changes in membership for your COE
New Member or Member Info Update *
Name *
Title *
County Office *
Email *
Mailing Address *
Phone *
Membership category *
Select all that apply
Membership Information Access
Select all that apply.
Names of other SPSSC members from your COE
Effective Date of any change (mo/day/year)
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