Yavapai COAD Non-Voting Member Interest
If you are a public safety agency, business, or organization interested in participating in the COAD as a stakeholder but not as a voting member, please complete this form.
Agency or Organization Name
*
Point of Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Would you like to be added to the Evertel COAD group?
*
Please Select
Yes
No
Would you like to be added to the notification list for text messages/emails on EOC events or activations?
*
Please Select
Yes
No
Public Safety Agency, please add
Public Safety Agency, already added
If you are a Public Safety agency, would you like to be added to the EOC Situational Awareness channel on Evertel?
*
Please Select
Yes
No
Already added
N/A
Submit
Should be Empty: