Member Application

If you were previously a SEANC member you may not need to register again. Please click here.
Basic Information
Mailing Address
Contact Information *Please fill out at least one
Employment Information *Retirees, please select "Retired"
Payment Information
Total Payment Amount
$
*
* Includes $14 per month membership for active state employees (or $10 per month for retirees) and $3 per month voluntary Employees Political Action Committee (EMPAC) contribution.
The EMPAC contribution may be declined now by checking this box or may be cancelled at any time with one month's written notice to the SEANC Central Office. If you desire to contribute a different amount to EMPAC, please indicate your EMPAC contribution here:
$
North Carolina law requires EMPAC to report the name, address, occupation and employer of individuals whose contributions exceed $50 in a calendar year; contributions are limited to $4,000 per individual per election cycle.

SEANC Membership Terms and Conditions
I authorize SEANC membership dues to be deducted from my wages/pension or checking account on a monthly basis, in the amount currently established by the SEANC Bylaws, or in an adjusted amount as may be approved by the membership subsequent to the date of this authorization. I further authorize my employer or pension plan to deduct voluntary EMPAC contributions in the amount designated above from my wages/pension on a monthly basis for transmittal to SEANC in a lump sum with my SEANC dues. These authorizations shall continue until canceled by me by written notice to the SEANC Central Office. These payments are non-refundable.
Contributions or gifts to SEANC and EMPAC are not tax deductible as charitable contributions.
By providing my phone number, I understand that SEANC and its affiliates may use automated calling technologies and/or text message me on my cellular phone on a periodic basis. SEANC will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 787753 to stop receiving messages. Text HELP to 787753 for more information.
I understand that: 1) I am not required to make contributions to EMPAC as a condition of my employment by my employer or membership in SEANC; 2) I may refuse to contribute without any reprisal; 3) only members and executive/administrative staff who are U. S. citizens or lawful permanent residents are eligible to contribute; 4) the amounts on this form are merely a suggestion, and I may contribute more or less by this or some other means without fear of favor or disadvantage from SEANC or my employer; 5) SEANC and SEIU use the money they receive for political purposes, including, but not limited to, addressing issues of political or public importance and contributing to and spending money in connection with federal, state and local elections.