CALIFORNIA EMERGENCY SERVICES ASSOCIATION
INLAND REGION CHAPTER
2004 MEMBERSHIP APPLICATION


California Emergency Services Association was founded in 1965 with the goal of preserving and protecting property through emergency preparedness and appropriate response.
Today our membership is composed of emergency managers and planners from all levels of government: city, county, state, federal; Special Districts; hospitals/medical profession; education; other emergency service/public service organizations; business/industry emergency planners and other individuals with special interests in this field.
We strive to improve emergency planning, training, and response techniques. The association conducts a Spring Workshop and Annual State Conference. The association provides seminars with presentations by proven experts, specialist and public figures; communicates through informative newsletters; and provides a forum for networking.


"HELPING TO MAKE CALIFORNIA A SAFER PLACE TO LIVE"


A PUBLIC AGENCY OR ORGANIZATION MEMBERSHIP ENTITLES THREE (3) PERSONS IN YOUR AGENCY TO PARTICIPATE (1 VOTE). PLEASE LIST THEIR NAMES AND PHONE NUMBERS BELOW.
NAME: _________________________________________ PHONE: _____________________________
TITLE: __________________________________________ FAX: _______________________________
AGENCY/ORG: _______________________________________________________________________

E MAIL ADDRESS: _____________________________________________________________
NAME __________________________________________ PHONE ______________________
TITLE: __________________________________________ FAX: ________________________
E MAIL ADDRESS: _____________________________________________________________
NAME __________________________________________ PHONE ______________________
TITLE: __________________________________________ FAX: ________________________
E MAIL ADDRESS: _____________________________________________________________



Group Membership (Public Agency/Organization) $75.00
Individual Membership $30.00

Mail application to: CESA-IR
                              929 Bridge Street
                              Colusa, CA 95932