ESA Ohio | Online Membership Application

Inquiries? 1.800.746.2322

Your application will be reviewed by state and national membership committees. Include copies of all required licenses. Upon receipt of application and licenses(s), your membership will be considered for approval. Dues vary from state to state.

Company:

Address:

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Company Fax Number:

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Company Website:

Company Email:

Your primary and alternative voting representatives will represent your company in all association voting matters. Representatives provided will receive electronic and printed member communications from the association.

Primary Voting Rep:

First

Last

Address:

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Phone Number:

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Fax Number:

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Email:

Alternative Voting Rep:

First

Last

Address:

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Phone Number:

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Fax Number:

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Type of Membership:

Regular

Multi-Location

Associate

Public Safety

Affiliate

Individual

How did you hear about ESA?

Privacy Policy:

ESA does not collect any personal identifying information about you unless you specifically and knowingly provide such information. Contact information
provided to ESA may be used to send information about ESA programs, events, opportunities, or other useful information. ESA OF OHIO/ESA may share contact information
with associate members and other companies that offer ESA OF OHIO/ESA member benefits and endorsed programs. ESA OF OHIO/ESA will not share contact information with
any other company, group, or organization that is not affiliated with or endorsed by the association for the sole intent of using such information for marketing purposes.

Fax/Email Authorization:

By completing and submitting this application, I hereby authorize ESA to send me pertinent association and industry information via fax
transmission at all fax numbers and via e-mail at all e-mail addresses listed on this application, UNLESS otherwise specified below. I recognize that such documents include,
but are not limited to: billing statements, registration forms,ESA member communications and official letters. I understand that granting this permission is essential to the
association's ability to communicate with me effectively.

Do not send me:

Fax

Company Data:

(Please provide the following details for your member directory listing)

Number of Employees: (All full-time employees for alarm operations, including administrative)

Number of Locations: (including headquarters)

Year Founded:

Have you been a member previously?

What services do you offer?

(Please check all that apply)

INSTALLATIONS:

Security Alarm Systems

Fire Alarm Systems

Access Control Systems

Video Surveillance (CCTV)

Central Vacuum Systems

Home Automation

Home Entertainment

Telephone Systems

Proprietary Alarm Systems

UL-Listed Installations

MONITORING:

Contract Monitoring Services

Contract Monitoring FM Approved

Contract Monitoring UL-Listed

Own a Central Station

Own an FM Approved Central Station

Own a UL-Listed Central Station

Security Alarm Monitoring

Fire Alarm Monitoring

Video Monitoring

Two-Way Voice Monitoring

Who are your customers? (please check all that apply)

Residential

Commercial

Industrial

Goverment

The undersigned acknowledges that all information provided in this application is true and accurate, and that false information can result in the denial of membership. Upon
approval, the undersigned agrees to abide by and subscribe to the bylaws, code of ethics and antitrust statement of the ESA OF OHIO/ESA. ESA OF OHIO/ESA reserves the
right to approve or deny membership regardless of any payments received or deposited.

I agree

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Types of ESA Memberships

Regular

(Alarm Dealer, Monitoring Station) - may be classified as an Installing Dealer, or a Third Party Monitoring Company. Installing Dealer Regular Members provide installation, repair and/or monitoring of burglar alarms, fire alarms, or other electronic security systems, which are consistent with the stated objectives of the association. Third Party Monitoring Company Regular Members who do not install or repair electronic security systems and do provide monitoring of burglar alarms, fire alarms, or other electronic security systems which are consistent with the stated objectives of the association.

Multi-Location

Shall be open to any company with two (2) or more offices in one (1) but not more than fourteen (14) states and which shall
meet the following requirements:
 Provides installation and repair of burglar alarms, fire alarms, or other electronic security systems, which are
consistent with the stated objectives of the association;
 A Multi-Location Company shall become a member of the CSAs in not less than fifty-one percent (51%) of those
states or regions where there is a CSA and in which the company has an office.

National Company

Shall be open to any company with offices in fifteen (15) or more states and which shall meet the following requirements:
 Provides installation and repair of burglar alarms, fire alarms, or other electronic security systems, which are
consistent with the stated objectives of the association;
 A National Company shall become a member of the CSAs in not less than fifty-one percent (51%) of those states or
regions where there is a CSA and in which the company has an office.

Public Safety

Shall be open to any member of the police or fire department of any governmental organization, or any governmental agency concerned with law enforcement or fire safety upon the request of their department head.

Affiliate

Shall be open to any individual or business that does not otherwise qualify for membership under any other membership category, but has the capability of contributing significant value or expertise to the electronic security industry, or provides design, installation, service or monitoring of electronic security systems for its own use and not to either the general public or to alarm dealers.