Western States Seismic Policy Council
New Member – 2014 Affiliate Membership
The mission of the Western States Seismic Policy Council (WSSPC) is to develop seismic policies and share
information to promote programs intended to reduce earthquake-related losses. We invite members of the
professional community who are involved in addressing and reducing seismic hazards to join our non-profit
organization as an affiliate member. For further information, contact us at (916) 444-6816 or [email protected]
Affiliate Membership Information:
Organization:
Contact Name:
Title:
Mailing Address Line 1:
Mailing Address Line 2:
City:
State:
Phone:
Mobile:
Zip:
Country:
Email Address:
Committees I am interested in: (please check all that apply)
Basin & Range Province
Engineering, Construction, and Building Codes
Tsunami Hazard Mitigation
2014 Affiliate Membership Categories and Fee Schedule (please check one)
Private Corporation
More than 250 Employees
100-250 Employees
Less than 100 Employees
Non-WSSPC State, Province, or Territory
$1,000
$500
$300
$300
Local Government/Dept. of Local Gov’t
Tribal Governments
University/Department of University
Non-Profit Organization
Individual Membership
$300
$300
$300
$300
$275
Payment Information:
Pay by credit card:
WSSPC uses PayPal to process VISA and MasterCard credit card payments. To make a credit card payment, go to
http://www.wsspc.org/members/affiliate_cc.shtml and follow the online instructions. After payment, send a copy of
this completed form via email to [email protected] or to WSSPC, 801 K Street, Suite 1236, Sacramento, CA
95814.
Pay by check:
Send a copy of this completed form with your check, made payable to Western States Seismic Policy Council, to
WSSPC, 801 K Street, Suite 1236, Sacramento, CA 95814.