Membership Application Associate Members Contact Information Company: Main Membership Contact: Title: Address: City, State, and Zip Code: Work Phone: Email: Website: Choose One Category: Ancillary ServicesArchitecture/Design ServicesAssisted Living SoftwareChemical/SuppliesCleaning ServicesCommunication ServicesContracting/Construction ServicesEducation/TrainingEmergency Call/Resident Monitoring SystemsEmergency Preparedness ServicesEnergy Conservation ServicesEquipment/Furnishing SuppliersFinancial/Tax ServicesFlooring ServicesFood ServicesFuneral ServicesGroup PurchasingHealth/Medical SuppliesHome Care ServicesHospice ServicesImaging ServicesInsurance ServicesLegal ServicesManagement ServicesMarketing/Operations ConsultingMedical ServicesPharmacy ServicesPublic or Government RelationsReal EstateReferral ServicesStaffing/Human ResourcesTechnologyTransportationTV/Internet ServicesVeteran ServicesWater ServicesWellness Services *Note: Management Services Category - Management companies are not eligible to join as associate members without also causing the facilities they manage to join CALA. How did you hear about us? Membership Level View membership benefits for each level Industry Partner - $685Supporting Partner - $1755Sustaining Partner - $4595 Please provide a 25 word description of your company: Payment Information Total Amount Due: Check (Make Payable to CALA)Credit Card (VISA, MC, Amex) Card Number: Expire Date: Cardholder Name: If opting to pay by check, please mail to: CALA, 455 Capitol Mall, Ste 222, Sacramento, CA 95814. Check must be received before processing membership. I understand that by becoming a CALA member, my company consents to receive communications by or on behalf of CALA duly authorized agents or designees, via postal mail, fax, email and/or telephone. Any communications from CALA are intended for members only and not to be distributed.