Membership Renewal

Renewal Membership Information

This form is for the renewal of your membership in TEMSA. We need to assure that we have accurate records about your service including up to date contact information and who your approved person(s) are to cast votes on your behalf.

  • Organization Representation

    Please designate your primary and alternative representative who will be the point of contact and who may cast a vote on your organization's behalf

  • Organizational Structure

  • Ownership Information: Corporations, Partnerships, Sole Proprietorships

  • Primary business location
  • Primary business location
  • Primary business location

  • Service Information

    Mark all that apply
    Mark all that apply
    Mark all that apply
  • Direct Dial Number (Not 911)

  • Service Area

    Please provide us with your primary response area(s) to include City, County or geographical locations.
  • Please list the RACs your organization participates in
    Mark all that apply