Membership Information You have selected the Annual ACTIVE Member 2024 membership level. Active Membership is $50 per year. The membership year is January 1 to December 31. The price for membership is $50.00 per Year. Membership expires on December 31, 2024. Do you have a discount code? Click here to enter your discount code Discount Code Account Information Username Password Show Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here General Member Profile First Name Last Name Organization Organization Type FEMA Federal – Other Federal Agency Tribal – Tribal Emergency Management Agency Tribal – Other Tribal Agency State – MSP EMHSD State – Other State Agency County – County Emergency Management Agency County – Other County Agency Municipal – City, Village, Township Emergency Management Municipal – Other City, Village Township Agency University K-12 Education Private Sector Non-Government Organization / Non-Profit Other Title Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Phone Email District 0 – State Agency 1 – Gratiot, Clinton, Shiawassee, Eaton, Ingham, Livingston, Jackson, Hillsdale & Lenawee 2S – Monroe, Wayne & Washtinaw 2N – Oakland, Macomb & St. Clair 3 – Oscoda, Alcoma, Ogemaw, Iosco, Gladwin, Arenac, Midland, Bay, Saginaw, Huron, Tuscola, Sanilac, Genesee & Lapeer 5 – Allegan, Barry, Van Buren, Kalamazoo, Calhoun, Berrien, Cass, St. Joseph & Branch 6 – Mason, Lake, Osceola, Clare, Oceana, Newaygo, Mecosta, Isabella, Muskegon, Ottawa, Kent, Montcalm& Ionia 7 – Emmet, Cheboygen, Presque Isle, Charlevoix, Antrim, Otsego, Montmorency, Alpena, Leelanau, Benzie, Grand Traverse, Kalkaska, Crawford, Manistee, Wexford, Missauke & Roscommon 8 – Keweenaw, Houghton, Ontonagon, Gogebic, Iron, Baraga, Marquette, Dickinson, Menominee, Alger, Delta, Schoolcraft, Luce, Chippewa & Mackinac Choose the area that you either work or live. This helps us to ensure you are assigned to one of our District Liaisons appropriately. Are you a PEM? Yes No PA 390 Program Yes No Unknown Indicate Your Sector(s) Chemical Sector Commercial Facilities Sector Communications Sector Critical Manufacturing Sector Dams Sector Defense Industrial Base Sector Education Sector Emergency Services Sector Energy Sector Financial Services Sector Food and Agriculture Sector Government Facilities Sector (Not Emergency Services) Healthcare and Public Health Sector Information Technology Sector National Monuments and Icons Sector Nuclear Reactors, Materials and Waste Sector Postal and Shipping Sector Transportation Systems Sector Water and Wastewater Systems Sector None Other If you have multiple roles, select all or any of them. Select MEMA Initiatives you would be Interested in helping with. Membership Committee Mentoring Team Corporate Communications (Newsletters/Announcements/Web) Conference Committee Training/Education Committee (Lunch & Learn etc.). Legislative Affairs Committee Emergency Response Assistance (Being sent to help at disasters) Special Projects (Policy and other ad-hoc initiatives) Being a District Liaison Being a Board Member None How did you hear about MEMA? I've been a member already. Other Member Referral Co Worker Email Website Training Conference At a Meeting Teacher I searched it out on my own Other Name of Referral (Who referred you, if applicable) I’m Interested in having a Mentor assigned to me. No Yes Payment Information Card Number Expiration Date CVC Discount Code Processing…
