PLEASE FAX OR EMAIL YOUR Membership Application (AVAILABLE ON THE IESMA.ORG WEBSITE) TO NANCY SCHILLING. Delegates also need to submit a notice of appointment.
nancejay@hotmail.com
618.853.2656
The Illinois Emergency Services Management Association

Pay by credit card membership renewal below!



Membership Applications & Checks must be mailed to:

IESMA
Nancy J. Schilling, Treasurer
P.O. Box 99
Evansville, IL 62242-0099
Make Checks payable to IESMA


IESMA Credit Card Order Form

Illinois Emergency Services Management Association

IESMA Order Form

Please complete the following form to place your order. We will calculate your total and confirm your order by email.

For membership renewal please select your membership level:
Delegate Membership (one per jurisdiction) ($65.00)
Professional / Technical Membership ($65.00)
Associate Membership ($25.00)
Affiliate Membership ($100.00)

Select VFIS Insurance (if any):
Insurance Plan A ($10.00)
Insurance Plan B ($16.00)
Insurance Plan C ($29.00)

GENERAL INFORMATION
First Name: Last Name:
Address:
City: State: Zip:
Country:
Phone Number:
E-Mail Address:
ESDA/EMA Agency: Position:
Conference ID should read:
Comments:

Custom Search