Apply For Associate Membership Associate members provide services or products to the security industry. Associate Membership Application Form Step 1 of 5 20% Associate Member Application: Explanation of DuesINSTRUCTIONS: Associate Members may elect any Regional Association as their primary Regional Association and may elect to join as many other Regional Associations as desired by listing them and paying additional dues for each chosen. DUES: CAA State $250 per quarter ($1,000 per year) plus the primary Regional Association at $80 per quarter ($320 per year) for a total of $330 per quarter ($1,320 per year). Additional Regional Associations are only $50 each per quarter ($200 per year). All applications must be accompanied by all dues to satisfy one quarter payment for state, primary and additional associations. EXAMPLE: Membership with one (1) Regional Association $250 and $80 TOTAL DUE WITH APPLICATION: $330 for first quarter dues plus your optional CAA Political Action Committee (PAC) Fund donation. You will be billed quarterly for this amount. Acknowlegement* I understand the Associate Member Dues. Company InformationCompany Name* Website* Corporate Structure*CorporationPartnershipIndividualNumber of Employees*Have You Been A Member of the CAA Previously?* Yes No Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code Personal InformationPrimary Contact* First Last (Listed on directories)Primary Contact Phone*Primary Contact Email* Secondary Contact First Last (For mailings) Secondary Contact PhoneSecondary Contact Email Primary Reason for Joining the CAA: Associate Membership DuesCAA Associate Membership dues are $250 per quarter. You must also choose one Regional Chapter membership which is $80 per quarter. Additional Regional Associations (optional) are only $50 each per quarter. Optionally, you can also add $40 per quarter if you'd like to contribute the CAA Political Action Committee (PAC) to help with industry representation to your state representatives. Quarterly Dues: Associate Members* Price: Your Primary Regional Chapter*East Bay Alarm AssociationGolden Gate Alarm AssociationGreater Los Angeles Security Alarm AssociationGreater Valley Alarm AssociationInland Empire Alarm AssociationMid-Cal Alarm AssociationOrange County Alarm AssociationRedwood Alarm AssociationSacramento Area Alarm AssociationSan Diego Security AssociationSilicon Valley Alarm AssociationOptional: Select Additional Regional Chapter Memberships Select All East Bay Alarm Association Golden Gate Alarm Association Greater Los Angeles Security Alarm Association Greater Valley Alarm Association Inland Empire Alarm Association Mid-Cal Alarm Association Orange County Alarm Association Redwood Alarm Association Sacramento Area Alarm Association San Diego Security Association Silicon Valley Alarm Association These selections are optional. Optional: PAC Fund (Quarterly) Yes Please No Thanks Total Quarterly Fees for Associate Membership: $0.00 Payment Preference* Process My Card Quarterly For Dues Invoice Me Quarterly For Dues Consent & Signature: Associate Member I agree to the membership termsApplication is made for Associate Membership in the California Alarm Association and the indicated Regional Chapter Association(s). I agree to the total amount indicated on this form, and then for the total quarterly amount (3 month period). Quarterly dues will be charged to your payment method that you submit on this form quarterly on a recurring basis every quarter unless you submit a cancellation notice to our office in writing. I acknowledge and confirm that I have the ability to enter into this membership agreement on behalf of myself or my organization and that all of the information provided here by me is true and correct to the best of my knowledge. Consent & Signature: Associate Member I agree to the membership termsApplication is made for Associate Membership in the California Alarm Association and the indicated Regional Chapter Association(s). I agree to the total amount indicated on this form, and then for the total quarterly amount (3 month period). Dues will be invoiced quarterly on a recurring basis every quarter unless you submit a cancellation notice to our office in writing. I acknowledge and confirm that I have the ability to enter into this membership agreement on behalf of myself or my organization and that all of the information provided here by me is true and correct to the best of my knowledge. Signature* Payment / Invoice InfoSend Invoice To:* First Last Name on Credit Card* First Last Credit Card Number* Phone Number*CVV* Expiration Date* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Consent & Signature* I agree to the payment termsI agree to be charged now for the total amount indicated on this form, and then for the total quarterly amount on a recurring basis every quarter (3 month period). Quarterly dues will be charged to your payment method that you submit on this form on a recurring basis automatically every quarter unless you submit a cancellation notice before 30 days of the renewal date. I acknowledge and confirm that I have the ability to enter into this membership agreement on behalf of myself or my organization and that all of the information provided here by me is true and correct to the best of my knowledge. Consent & Signature* I agree to the payment termsI agree to be invoiced now for the total amount indicated on this form, and then for the total quarterly amount on a recurring basis every quarter (3 month period). Quarterly dues will be invoiced on a recurring basis automatically every quarter unless you submit a cancellation notice before 30 days of the renewal date. I acknowledge and confirm that I have the ability to enter into this membership agreement on behalf of myself or my organization and that all of the information provided here by me is true and correct to the best of my knowledge. Signature*CAPTCHA
