September is National Preparedness Month. Get a Kit, Make a Plan, Be Informed and Get Involved.

2008 Coalition Registration

My organization would like to participate in National Preparedness Month.
Yes No

My organization agrees to be a National Preparedness Month Coalition Member.

Yes No

What is the name of your organization?

How would you describe your organization?

What activities do you anticipate your organization will undertake for National Preparedness Month?

Distribute preparedness information to your employees and stakeholders
Include preparedness information in your newsletters, Websites, emails, invoices or paystubs
Write opinion editorials or submit letters to the editor for local publications regarding the importance of emergency preparedness
Host a preparedness activity, such as a blood drive or First Aid/CPR/Emergency training
Host a preparedness event in your community, such as a "How To" seminar
Review your organization's emergency preparedness plans with employees and encourage them to plan at home
Some Other Activity (Please specify)
: other

Your Contact Information

First Name
Last Name
Title
Address
City
State
Zip
Phone Number
Email Address

I understand that this information may be used in materials about National Preparedness Month and may be distributed to the public.