Sign Up for New Membership – St. Paul Senior Workers Association

Choose a Username*

RECOMMENDED: Use your first name and then your last name as your username (e.g., janefitzgerald for "Jane Fitzgerald") as it is more likely to be unique. You will use this username, or your email address, to sign in to this website.

Choose a Password

Enter Password Confirm Password

You will use this username, or your email address, to sign in to this website. Later on if you forget this password, you will be able to use the "Lost Password?" process to reset it and choose a new one.

Name*

First Last

Organization*

Your Title*

Organization Category*

Your Email*

This is the email you will use when logging in, if you forget your password, and so on.

Work Phone*

Personal Phone

Address*

Street Address City State ZIP Code

Choose Membership Level

Membership Type*

New - $30
Student - $15
Retired - Free

Click on any circle to select your membership type and the credit card box will appear if needed (e.g., it will not appear if the free "Retired" selection is made).

Credit Card

American Express

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name