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California RCC Membership Enrollment
Thank you for taking the time to complete VALOR's membership enrollment form. This will only take 10 minutes of your time.
Instructions:
Fill out all required fields below.
Once completed, pay for your membership
online
or send your check and a copy of your responses to ValorUS, Attn: Villena V. Koumis/Membership, 1215 K Street, Suite 1850, Sacramento, CA 95814.
We value your membership and want to remind you that membership benefits include:
Discounted registration for the 2023 National Sexual Assault Conference held in San Francisco
Reduced fees for ValorUS Conferences
Consultation and Technical assistance
Voting privileges (Each agency is limited to one voting membership)
Timely legislative updates and action alerts
Bi-annual newsletter
Priority registration to monthly web conferences and podcasts
Other premiums as they become available.
If you have any questions, please reach out to Villena V. Koumis at membership@valor.us.
Thank you for your continued partnership.
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* Indicates required question
Email
*
Your email
Agency Name
*
Your answer
Executive Director
*
Your answer
Agency phone number
*
Your answer
Agency website link
*
Your answer
Agency mailing address (include city and zip code)
*
Your answer
Agency type
*
Rape Crisis Center
Rape Prevention Program
Dual SA/DV Agency
Who from your agency's programs (Prevention, Intervention, Campus, PREA, etc.) would you like to include to receive webinar, training, discussion and resources? Please include name, title, and email.
*
Your answer
Did anyone new join your team in 2022? Please include their name, title, email, and phone number.
Your answer
Annual Budget - please select your dues according to your agency's annual sexual assault budget.
*
Agency with Sexual Assault services budget of up to $250,000. Membership dues: $325.00
Agency with Sexual Assault services budget of $250,001-$500,000. Membership dues: $650.00
Agency with Sexual Assault services budget of $500,001-$750,000. Membership dues: $975.00
Agency with Sexual Assault services budget of $750,001-$1,000,000. Membership dues: $1,300.00
Agency with Sexual Assault services budget of $1,000,001-$2,500,000. Membership dues: $1,625..00
Agency with Sexual Assault services budget of $2,500,001or greater. Membership dues: $1,950.00
Payment
*
Pay dues by credit card here:
https://www.valor.us/join-us/
Pay dues by check. Print your responses and mail that in with a check to ValorUS, Attn: Villena V. Koumis/Membership, 1215 K Street, Suite 1850, Sacramento, CA 95814
A copy of your responses will be emailed to the address you provided.
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