Stark County Safe Communities
2008 / 2009 electronic membership application
Name: Title: Organization: Work Address: City: Zip: Work Phone: Fax: Home Phone: (optional) Email: Most correspondence (minutes, reminders, etc) will be done via e-mail (if possible). If you prefer a hard copy be sent via postal mail, please check
Please select area of interest (you may select more than one) Seatbelt Challenge Impaired Driving Education / Campaigns Fundraising School Safety Programs Community Safety Events / Fairs Seatbelt Education / Campaigns Motorcycle Safety Data and Research Media Relations