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Application

Annual Membership Dues
January to December 2021
First Name
Middle Initial
Last Name
Town/Village
1. Town
2. Village
Town/Village Name
Justice/Clerk
1. Justice
2. Clerk
Court Address
P.O. Box Number
City
State
Zip Code
I.D. Core Number
(located on the back of your NYSAMCC badge)
Court Information
Court Phone
Court Fax
NY Courts Email
County
Date You Became a Court Clerk
Date You Became a Court Clerk
If you are a new clerk, please indicate the name of the clerk you replaced
Are you the clerk in more than one Court?*
1. Yes
2. No
Please list the other Court
Please list the other Court
Continue

Payment

Annual Dues
1. Full Membership Dues: $50
2. Retired Members: $25
January to December 2020
Payment
Make checks payable to:
NYSAMCC, Inc
Membership Chair
P.O. Box 102
Groveland, NY 14462
Please indicate the check number that you are sending for payment in the provided field.
Check Number*
Credit Card Payment Link:
ALLPAID ONLINE PAYMENT
NEW: You can now pay your dues with a credit card!
Please use the link above to make your payment. This will open a new window for you to submit the payment. Please be aware ALLPAID charges a 2.99% fee for this transaction.
You must return to this screen, enter the reference number from ALLPAID and then submit the registration form once the payment is successfully completed.
Please enter the Transaction Reference # you receive from ALLPAID after you submit your payment here:
For questions or information please contact:
Email Membership Chair, Dawn Marie Klingner
Phone: 845-373-8434

Email the Treasurer, Terri Rider
Phone: 585-340-8624
Membership Card
Your new membership card will be emailed to the address provided. Please verify it is correct. If you do not receive your card via email, check your spam, it may be there.
Payment of Dues
Payment of dues will be accepted from January 1, 2021, through the "fixing of the record date" - August 31, 2021. Your access to the password-protected portion of NYSAMCC will be good until April 1, 2021. At that time, your website access will be denied if your dues are not received. If your town of villages requires a voucher one may be printed on our website.
Email or U.S. Mail my docket?
1. Email
2. U.S. Mail

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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New York State Association of Magistrates Court Clerks Application

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