Individual Membership Application

MEMBERSHIP: Benefits include quarterly SAFE Newsletter, annual SAFE proceedings, all SAFE-related mailings throughout the year, $100.00 reduced registration rate when attending our Annual SAFE Symposium. Pricing is as follows:

Types of Membership:

New Individual Membership (First Year Only) - $25.00 annually - This rate applies to individuals who have not been a member for the past two years. All others will need to renew at the $75.00 rate.

New Full Time Student Membership - $10.00 annually - (Student I.D. required) - Benefits: Same as Individual Membership

New Retired Membership - $20.00 annually - These persons must not be engaged in any form of consulting, part-time, or paid work in any form. Benefits: same as Individual and Student Membership except does not allow for special symposium registration rates.

Individual Membership Renewal - $75.00 annually - Renewal of Individual Membership

Full Time Student Membership Renewal - $10.00 annually - Renewal of Student Membership

Retired Membership Renewal - $15.00 annually - Renewal of Retired Membership

Part of Corporate Membership - $0.00 annually - Additional membership as part of Corporate Membership

Part of Sponsorship - $0.00 annually - Additional membership as part of Symposium Sponsorship

Check payment can be mailed to:
SAFE ASSOCIATION
Post Office Box 130
Creswell, OR 97426-0130
Phone: (541) 895-3012
FAX: (541) 895-3014
E-mail: admin@safeassociation.com

Online Individual Membership Application Instructions:

1. Step One - Complete this page with your information
2. Step Two - Click on the "Continue to Payment Information" button. If you are paying by credit card you will be presented with the Credit Card Payment entry form on page two; otherwise, you will receive specific instructions for the payment method that you choose.

* = required fields