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VAGEMSA Member Benefits, Associate Memberships and How to Join

Thanks for your interest in VAGEMSA. We are an organization that continues its active participation in the improvement of EMS throughout Virginia. Our commitment to fellow members is one of the hallmarks of the association as seen in our sponsorship of professional leadership develop training and focused workshops at the Annual Statewide EMS Symposium and at other events.

This web site and its members only section is another example of the benefits to our members. Our legislative work is well organized and integrated closely with other professional organizations and stakeholder associations in Virginia. If you and your governmental EMS agency are interested in becoming a VAGEMSA member, please make a hard copy of the accompanying invoice and mail it with your payment to the address provided. If you would rather have us bill you for your membership fee(s), please let us know. I

n addition, we selectively consider extending Associate Memberships to EMS related organizations and/or their leaders who can demonstrate a mutual benefit to VAGEMSA, their agency and the EMS System. If Associate membership interests you, please contact us via email for additional information. We welcome new members throughout the calendar year.

Our meeting schedule is posted on our calendar page and our next meeting and its location is highlighted on our home page. If you have additional questions, please contact us via this web site. We look forward to hearing from you.

VAGEMSA

VIRGINIA ASSOCIATION OF GOVERNMENTAL EMERGENCY MEDICAL SERVICE ADMINISTRATORS

623 North Avenue

Charlottesville, VA 22091

Phone: 434-531-3698

FAX 434-295-9302

Email: vagemsa1@vagemsa.org

(Downloadable Version of Membership Application)

VIRGINIA ASSOCIATION OF GOVERNMENTAL

EMERGENCY MEDICAL SERVICE ADMINISTRATORS

623 North Avenue

Charlottesville, VA 22091

Phone: 434-531-3698

FAX 434-295-9302

Email: vagemsa1@vagemsa.org

EIN # 54-1583252

Membership Application

Agency: (Agency name)

Address: (Mailing Address)

Phone: (    )

FAX:   (     )

Agency Website:

ANNUAL AGENCY DUES

Primary Delegate: (name)

Alternate: (name)

$50.00

included

                                           Additional Memberships ($10.00 each)

1.          (name)

2.

3.

$

$

$

Total Remittance Due

$

Please review the attached membership information and provide supporting comments for the level of membership being requested.

Type of membership requesting (please check one):

Active Member                              Associate Member

Supporting comments (attach additional sheet if necessary):

VAGEMSA

Membership Categories

BOARD OF DIRECTORS – The Board of Directors of the Association shall have voting authority and consist of one appointed representative and one alternate from each of the organizations represented.

ADDITIONAL AGENCY MEMBERS – Additional agency members may be appointed by the organization represented. Additional agency members do not have voting privileges, unless acting in the absence of their primary and alternate agency member.

ASSOCIATE MEMBERS: The Association may bestow an ASSOCIATE MEMBERSHIP upon an organization or an individual serving in a coordination or management position of an EMS organization, but who does not otherwise qualify for an active member status. Associate Members shall be subject to payment of dues but will not have voting privileges and may be removed at any time at the discretion of the Board of Directors.

Associate Members must be recommended to the Board of Directors at least thirty (30) days prior to a scheduled meeting and approved by at least 2/3 of the quorum of members.

Letter of Interest

Please complete the following information and mail or email to VAGEMSA at the address provided above.

Organization:

Contact Person:

Mailing Address:

Email Address:

Phone and FAX Numbers:

_____Yes, my agency is interested in joining. Our $50.00 membership fee will follow with an invoice.

_____Please bill my agency for membership at the above address.

_____I am interested in your $10.00 individual membership, payment to follow with an invoice.

Change of Status Notification

_____Please remove the following name(s) from your mail/email listing.

1.

2.

3.

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