Information for:
Homeowners
Business Owners
Engineers/Scientists
Emergency Planners
 
CREW:
About CREW
Meetings
Join CREW
 
Products:
Cascadia Deep Earthquakes
Cascadia Subduction Zone Earthquakes: A magnitude 9.0 earthquake scenario
Post-Disaster Recovery Guide: How to Guide
Just-in-Time Inventory: Effects on Earthquake Recovery
Using the CREW scenario: Three tabletop exercises
Business Survival Kit For Earthquakes & Other Disasters Video
Seattle Fault Scenario (CREW supporting EERI)
 

CREW Membership Application Form

CREW does not give out the personal information of its members. If you have any question concerning this form, the registration process, or CREW, please contact Bob Freitag at Phone: (206) 328-2533, Email: bfreitag@mindspring.com  

This is a new membership This is a renewal
If you are a new member, please fill out the below form completely. If you are renewing your membership, please update your information.
YOUR CONTACT INFORMATION:  
Name: Title:
Company Name:
Department/Office:
Street Address: Mail Stop/P.O. Box:
City: State/Province:
Postal/Zip Code: Country:
Office Phone:   Home Phone:
Fax: Pager:
Cell Phone: Email Address:

TYPE OF ENTITY (Please select one category that best fits your organization)
Biotechnology Consulting or Professional Services Education (k-12)
Education (University, College, etc.) Financial Institution Government – Federal
Government – Local Government – State / Province Health Care
High Technology Hospitality (hotel, restaurant) Insurance
Manufacturing Power Utility Retail/Wholesale
Transportation Utility – Water/Sewer Utility – Gas
Utility – Communications Other:
PRINCIPLE FUNCTION (select one category that best describes your expertise)
Administrator Board of Directors Elected Official
Engineer: Civil Engineer: Geotechnical Engineer: Safety
Engineer: Structural Engineer: Emergency Manager

Environmental Health & Safety Officer

Facilities Manager Geologist
Geophysicist Industrial Hygienist Information Manager
Legal Counsel

Media (radio, television, print)

Planner
Public Information Officer Risk Manager Underwriter
Other:

GEOGRAPHICAL SCOPE OF YOUR ORGANIZATIONS ACTIVITIES:

Coastal International Local
Metropolitan/Urban National Pacific Northwest
Province: British Columbia Rural State: Northern California
State: Oregon State: Washington Western US
Other: