Join Us - Environmental Management Association

Please check the following MEMBERSHIP TYPE you are applying for:*

Company Membership ($350)
Individual Membership ($40)
Student Membership ($20)

Name*

First Last

Position/Title*

Company Name*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Company Website

Secondary Contact Name

First Last

Secondary Contact Email

Please check the following committees you are interested in serving:*

Scholarship Committee
Membership Development Committee
Mentor Program Committee
Sponsorship Committee
Events Committee
STEM Committee

Please summarize the following based on the membership type for which you are applying: (1) the services of your company, (2) your role in your company/what you do, or (3) your research efforts, studies, and/or areas of expertise

Payment Options*

(Payment must be made in full prior to application acceptance)

Credit Card Type*

Please Choose One

Card Number*

Exp. Date*

CVV*

3 Digit Number on back of card (4-digit if AMEX)

Billing Zip Code*

Billing zip code associated with your card

USER AGREEMENT*

Accept Communications Agreement

By submitting this application, I consent that the EMA may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Association(s) in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my membership. By submitting this online application, I consent to having the EMA charge my card the specified amount remotely, and signing on my behalf.

Signature*

Date*

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• INTEGRITY • COMMON SENSE • SOUND SCIENCE • FISCAL RESPONSIBILITY •

to renew your dues for 2021, please click here

to renew your dues for 2020 and/or 2019, please click here

The following committees are what we offer if you are interested in serving:

Scholarship Committee
Membership Development Committee
Mentor Program Committee
Sponsorship Committee

Fill out the application below to become an integral part of the EMA family today!!

TO PAY VIA CHECK:

Please print and complete the appropriate PDF form from the list below.
Please make checks payable to Environmental Management Association for the appropriate membership amount.

Company Membership

Individual Membership

Student Membership

TO PAY VIA CREDIT CARD:

Online Membership Application

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