Consumer Membership Registration

Thank you for making the decision to join the JEA. Please fill out the form below and print a copy for your records before clicking submit. You will then be taken to the registration confirmation page to make your payment. The one year introductory membership fee is $19.95. You will be notified by email 30 days before your membership expires with an option to renew your membership for another year. We do not auto bill for renewals.

The payment page will provide the option to pay with a credit card or bank account using paypal. If you prefer to send a check or money order, please print the form below and sign and return it with your check or money order. You must click the submit button to process your registration regardless of how you choose to pay. Do not send Cash.

Prefix: Mr.Mrs.MissMs.Dr. First Name: * Last Name: * Phone Number: Street Address: * Address Line 2: City: * State: * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming --Territories-- American Samoa Federated States of Micronesia Guam Midway Islands Puerto Rico U.S. Virgin Islands Postal Code: * E-mail Address: * Would you like to receive information from us about sales and discounts from JEA business members? * YesNo Verification Code: Enter Verification Code: * * Required