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CALSAFE Associates are a Valued part of our Membership

This form is for credit card payment only. To mail in a check please download the appropriate form at left.

Associate Membership Form

Member Information


License Information



Representative Information


Membership Fees

Select the appropriate fee structure from the drop-down menu below.


PAC Contributions

“NOT Tax Deductible"

Donating additional money to the PAC Fund.
If the options below do not fit your needs please call a CALSAFE board member.


Total Due

$ 0.00


Membership Applications

Active Membership/Renewal

Up to 750,000 Annual Industry Related Sales - $370
From 750,000 to 2,000,000 Annual Industry Related Sales - $500
More than 2,000,000 Annual Industry Related Sales - $575


Associate Membership/Renewal

Associate Membership (Vendors & Others) - $575
Associate L License Membership - $370