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Membership Application
Name of Tribal Entity:
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Tribal Website:
What areas of risk management are you responsible for?
(check all that apply)
Workers Compensation / TEIP
Tribal Risk
Insurance Procurement Management
Claims Administration
Safety
Employee Benefits
Owner-Controlled Insurance Program
Risk Control
Emergency Management
Training
Other
How did you hear about TREMA?
Conference
Colleague
A Newspaper / Magazine
Web Site
Other
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Details (which conference, publication, etc)
Membership Options
Fee waived for atendees of the
TREMA Inaugural Meeting
, Nov 12th-13th 2008
Single Member ($50) - Tribal, Federal or State
Please select member type
Organization ($100) - Tribal, Federal or State
Please list the names of the other two tribal representatives in the notes box below.
Payment Method
Check / M.O.
Please send payment to TREMA address listed below.
Credit Card
We will contact you for payment details.
Notes
Please enter any notes that you would like to
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Address For Payment
TREMA
502 Cedar Dr
Santa Ana Pueblo, NM 87004
Questions / Concerns? Please contact us?
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