NC SAR ADVISORY COUNCIL APPLICATION

Please provide the following information and submit to join the NC SAR Advisory Council. Thank you.
Catagory #1: An agency or organization directly involved in providing SAR operational resources. This membership includes two members as representatives and the right to hold office.

Category #2: An individual, organization, or business interested in the promotion and financial support of NCSARAC objectives, but is not eligable or does not wish to join in another category.

Category #3: A sole proprietorship, partnership, or corperation interested interested in the promotion and financial support of the NCSARAC objectives.
Response Required Agency Name
Response Required Agency Address
Response Required City
Response Required State
Response Required Zipcode
Response Required Agency Phone Number (For Call-Out)
Agency Fax
Agency E-Mail
Agency Website

Primary Contact Information
Response Required First Name
Response Required Last Name
Response Required Address 1
Response Required City
Response Required State
Response Required Zip
Response Required Phone
Pager Number
E-Mail Address

Secondary Contact Information
Response Required First Name
Response Required Last Name
Response Required Phone Number
Pager Number
E-Mail Address
Briefly describe your organization, business, or agency involvement in Emergency Services, Public Safety, or SAR.
Response Required Agency Primary Specialty
Response Required Membership Type
Response Required Method Of Payment
All memberships expire December 31 of each year. Applications submitted between January 1 and June 30 need to pay $50 for dues and applications made between July 1 and December 31 need to pay $30 dues. Please make checks payable to NCSARAC and mail to: NCSARAC PO Box 1321 Asheboro, NC 27204
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