DATE: _______________________ California Tactical Dispatcher Association Membership Application   Instructions:  Please print and remit this form along with your membership fees to: CTDA C/O Jen Wandruff P.O. Box 14111 Oakland, CA 94614 Name:  ______________________________________________________________________________________ Last Name                                        First Name Address:  ____________________________________________________________________________________      Street                                        City                                        Zip Phone:  (____)______ - ________        E-Mail: ______________________________________________________ Agency Name:  ____________________________________________________ Phone:  (____)_____ - ________ Agency E-mail:  _______________________________________________________________________________ Agency Address:  _____________________________________________________________________________ Street                                        City                                        Zip Position held at your agency:  ___________________________________________________________________ Name of Tactical Program:  ______________________________________________________________________ Number of Tactical Dispatchers in Program:  ________ Would your agency be interested in more information and/or a presentation about Tactical Dispatch?  Yes  ___  No ___ Would you prefer we contact you at your (check one):  Home Address/Phone  ____    or  Work Address/Phone  ____ Membership Fee:  $35.00 per person / year Qualifications for Membership types: Active Membership •   Full-time law enforcement civilian dispatchers or civilian employees from within or outside the United States of America; except, no active member employed full-time outside the state of California shall hold office. Associate Membership •   Individuals who have a professional interest in Tactical Dispatch, and their membership will benefit the Association as well as themselves, such as retirees or sworn law enforcement •    Those individuals who are employees of firms that provide equipment and services to Tactical Dispatchers, telephone company liaison to law enforcement, or other technical specialists that directly deal in an aspect of Tactical Dispatch.       •    Associate members may participate in Association meetings and functions, but shall not have the right to vote or hold office, and may not attend or participate in meetings and functions in which confidential matters (as determined by the Executive Board) are discussed or presented. Please Make Checks Payable to:  C.T.D.A. If you would like to be added to the California Tactical Dispatch e-group click on the following link: http://groups.yahoo.com/group/californiatacticaldispatchers/