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.
  • 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

Thank you for your continued partnership.
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Email *
Agency Name *
Executive Director *
Agency phone number *
Agency website link *
Agency mailing address (include city and zip code) *
Agency type *
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. *
Did anyone new join your team in 2022? Please include their name, title, email, and phone number.
Annual Budget - please select your dues according to your agency's annual sexual assault budget. *
Payment *
A copy of your responses will be emailed to the address you provided.
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