Interested in becoming a member of SURJ Greater Lafayette?

Fill out the form below:

Name *
Phone *
Would you like to join our general membership email list? It's where we share meeting details, minutes, events, resources, etc.
Would you like to be on our Rapid Response contact list?
If YES, how would you like to be contacted?
Interested in working with a SURJ committee or learning more? (Check all that apply)
Would you like someone to contact you to talk more about SURJ?