Apply For For Regular Membership Regular Membership Application Form Step 1 of 4 25% Regular Member ApplicationRegular Membership shall be open to any individual, partnership, firm, corporation or business entity within the State of California which shall meet the following requirements: 1. Have its major activity in the electronic security industry, the installation and servicing of burglar alarms, fire alarms, supervisory systems and other electronic systems. 2. Have a valid California state license to operate in the electronic security industry. General Requirements: All members must be willing and agree to conduct their business in accordance with the Code of Ethics, bylaws and Anti-Trust Statement of the California Alarm Association (CAA).Acknowlegement* I understand the Regular Member Requirements. Company InformationCompany Name* Company Name (same as ACO and/or license)* Website* Corporate Structure*CorporationPartnershipIndividualNumber of Employees*Number of Locations (Including Headquarters)*ACO License Number and or C/10 License#* Have You Been A Member of the CAA Previously?* Yes No What services do you offer? Check all that apply:* Select All Access Control Local Burglary Monitoring Fire CCTV Guards Local Fire Own A Central Station Central Vac Home Automation Modulation Proprietary Alarms Contract Monitoring IQ Certified Monitoring Tel Systems 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 County Primary 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: Fee Structure for Regular MembersCAA membership dues for regular members are billed quarterly based on the number of employees at your company. Your quarterly membership dues include representation at the California Alarm Association, one state Regional Chapter, and, optionally, additional regional chapters and a donation to the PAC (Political Action Committee) Fund to help with industry representation to your state representatives. Regular Membership Price: Billed Quarterly Step 1:Select Your Company Size to Calculate Quarterly Dues* 0 1-5 6-10 11-15 16-25 26-50 51-75 76-100 101-125 126-150 151-299 300+ This is for membership in the CAA plus one regional association.Step 2:Select your primary regional membership which is based on the county in which your primary office is located. 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 Orange County Alarm Association Redwood Alarm Association Sacramento Area Alarm Association San Diego Security Association Silicon Valley Alarm Association Step 3:Select Quarterly Dues For Additional Regional Chapter Memberships Based On Company Size. Select All No Thanks East Bay Alarm Association (1-10 employees) East Bay Alarm Association (11+ employees) Golden Gate Alarm Association (1-10 employees) Golden Gate Alarm Association (11+ Employees) Greater Los Angeles Security Alarm Association (1-10 Employees) Greater Los Angeles Security Alarm Association (11+ Employees) Greater Valley Alarm Association (1-10 Employees) Greater Valley Alarm Association (11+ Employees) Inland Empire Alarm Association (1-10 Employees) Inland Empire Alarm Association (11+ Employees) Mid-Cal Alarm Association (1-10 Employees) Mid-Cal Alarm Association (11+ Employees) Orange County Alarm Association (1-10 Employees) Orange County Alarm Association (11+ Employees) Redwood Alarm Association (1-10 Employees) Redwood Alarm Association (11+ Employees) Sacramento Area Alarm Association (1-10 Employees) Sacramento Area Alarm Association (11+ Employees) San Diego Security Association (1-10 Employees) San Diego Security Association (11+ Employees) Silicon Valley Alarm Association (1-10 Employees) Silicon Valley Alarm Association (11 Employees) Step 4: (Optional)Select Your Company Size to Calculate Quarterly Dues For PAC Fund Contributions No Thanks 1-5 6-10 11-15 16-25 26-50 51-75 76-100 101-125 126-150 151-299 300+ This is for the CAA Political Action CommitteePayment InformationTotal Quarterly Fees for Regular Membership: $0.00 Payment Preference* Process My Card Quarterly For Dues Invoice Me Quarterly For Dues Name on Credit Card / Invoice* First Last Credit Card Number* CVV* Expiration Date* Phone Number*Phone Number*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: Membership Terms* I agree to the membership termsThe undersigned acknowledges that all information provided in this application is true and accurate, and that false information can result in the denial of membership. Upon approval, the undersigned agrees to abide by and subscribe to the bylaws, code of ethics and antitrust statement of the CAA. The CAA reserves the right to approve or deny membership regardless of any payments received or deposited. Fax application to 800-490-9682. I hereby certify that this company meets the requirements for Regular Membership in the local, state and national associations. 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*Consent & Signature: Credit Card Terms* I agree to the payment termsI agree to be charged now for the total amount indicated on this form, and 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 in writing. Consent & Signature: Invoice Terms* I agree to the payment termsI agree to be invoiced now for the total amount indicated on this form, and 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 in writing. Signature*CAPTCHACommentsThis field is for validation purposes and should be left unchanged.