Application for
Fraternal Membership

As a UCT member, you automatically join the over 70,000 members who strive to make a difference in their local communities. Members decide on a local basis which causes and charities to support. Join UCT and make a difference in your community! If you're ready to become a member today, please complete the fields below and your $30 membership fee can be paid via credit card. If you're not sure which council to join, just leave that field blank and we'll be in touch. If you're not ready to join just yet, but want more information, click here.

Proposed Member Information

* Required Field

* First Name:
Middle Initial:
* Last Name:
* Street Address:
* City:
* State/Prov.:
* Zip/Postal Code:
* Country:
* Phone: () -
* Date of Birth: M/D/Y
* E-mail:

If you know the council you wish to join, enter the council number:

Please enroll me for membership in The Order of United Commercial Travelers of America (UCT). I understand UCT is a fraternal benefit society, and I agree to abide by the Society's Constitution and Bylaws.

I have read and agree to the TERMS AND CONDITIONS