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Associate Membership Application

After submission: You will receive a unique reference number. Please save this number and present it to the admin when you visit our office to complete your membership process.
Please select the SMPC branch where your membership application will be submitted and processed by the branch Admin Aide.
Personal Information
Employment Information
Spouse Information
Children Information

List your children with their names and ages (optional)

Tax Information
Tax Identification Number (if available)