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APPLICANT INFORMATION
Applicant Name: *
Title: *
Organization: *
Work Address: *
City: *  State: *   ZIP: *
Work E-mail: *
Work Phone: *   FAX:
Home Address:
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Home Phone:   FAX:
  
Yes     No You may include my name in the COMCARE member directory.
  
AREAS OF INTEREST
Please indicate your areas of interest as a COMCARE member.
Advanced Technology: Collaborate with practitioners and technology vendors to shape products and advance the use of technology for the transformation of emergency processes.
Communications and Outreach: Participate in activities aimed at informing and educating the media, emergency responders, the private sector, and non-governmental organizations.
Enhanced Emergency Medical Response: Work with a variety of professions to bridge the gaps between healthcare, public health and public safety.
Professional Development: Collaborate with educational institutions to shape educational programs for emergency professionals. Develop informative and educational articles for our publications.
Public Interest: Work with citizen and public interest groups to promote public understanding of emergency services, build consumer awareness and champion change.
Public Policy Advocacy: Educate and Inform lawmakers on Capitol Hill and federal officials. Participate on the Public Policy Committee.
Vehicle Rescue: Participate on initiatives relating to transportation, telematics, extrication, and other vehicle rescue issues.
Other:
  
I agree to all COMCARE Membership Terms and Conditions. Membership dues are based on gross annual revenue. I understand that dues are paid annually on a rolling calendar basis from the date I join COMCARE and know that it is my responsibility to include the relevant fee for annual membership or submit a request for COMCARE to issue an invoice.
  

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