EMAT MEMBERSHIP
ONLINE APPLICATION

July 1, 2007 - June 30, 2008

MEMBERSHIP CATEGORIES
(Please check appropriate level)

                                                Active (voting rights)          $35.00___________                                  

                                                Commercial (non-voting) $100.00 ___________

Make checks payable to:         Emergency Management Association of Tennessee
Mail check & application to:      EMAT Secretary
                                                1220 West College Street
                                                Murfreesboro, TN 37129

MEMBERSHIP INFORMATION
(Please print clearly or type all information)

Name:__________________________________________________________________________

Title:___________________________________________________________________________

Organization/Company:____________________________________________________________

Address:________________________________________________________________________

City:_______________________________________State:________Zip code:_________________

Phone:(_______)______________________________Fax:(______)________________________

Email:__________________________________________________________________________

Web Address (Commercial Members):_________________________________________________