*First Name

*Last Name

*Phone Number

*Email Address

To change your membership status, please select one of the options below:

If you have chosen to resign, please provide us with most appropriate reason from the options below:

Provide any additional feedback or information for the Junior League records here (300 word maximum):

Sustainer Status: Eligible after 200 Flex Points achieved (includes Associate year points).

Leave of Absence: Any Active member who feels she cannot meet the minimum requirments of Active membership may request a one-year Leave of Absence. The Leave of Absence can be requested prior to or during the year she wishes the Leave of Absence to be. Active member requirements resume at the beginning of the membership year after the Leave of Absence Year. A member is still responsible for paying dues in the year she chooses to take the Leave of Absence.

Dues information:

If changing your status to Sustainer, please submit this form by March 31st. You will be billed for Sustainer Dues by May 1st.

If changing your status to Leave of Absence, dues are still owed by March 31st.

Should you resign and later wish to reinstate, the current year's dues, and a reinstatement fee will be owed.

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