NorCal ADPSR - Members

MEMBERSHIP DIRECTORY
INFORMATION FORM

Under Construction - Until the page is fully functioning, please copy the form electronically and e-mail to admin@adpsr-norcal.org.

Standard Information

The limited information in this first section will be placed on our website free of charge for any ADPSR members who are willing and interested.

Please withold my name from the ADPSR Website Membership Directory.

This is the first time I've completed the membership directory information form.

Please use this information update my old membership directory information.

First Name:

Last Name:

Middle Initial:

Profession:

Job Title:

Organization:

Phone/Fax:

E-Mail:

Website:

Education:

Areas of Interest

Type up to seven areas of interest selected from within the
four system types. To be listed, you must include at least one choice from within each system type.

Feel free to suggest a new Area of Interest. Examples are given below the explaination of the system types above.

Your Areas of Interest should be terms which have meaning for you and the people with whom you wish to connect.

They could be parts of the environment for which you feel an affinity, philosophy or beliefs, institutions or programs you support, areas of speciality, topics of interest, services you provide, building systems, material types, styles, etc.

Please add my name to the following Areas of Interest:

1

2

3

4

5

6

7

Please remove my name from the following Areas of Interest:

1

2

3

4

5

6

7

Optional Information:

The following more detailed information will be placed on the website for a fee of $25/year. Each member choosing to pay the additional fee will receive a page on our website as well as a listing. The fee covers the cost of setting up the page. The first 10 members to send in their information will have their fee refunded for the first year (We need some examples to illustrate the concept).

Personal Information:

Describe your personal
interest in or commitment to
Sustainable Development:

Company Information:

Company Name:

Mailing Address:

Shipping Address:

City:

State or Province:

Postal Code:

Work Phone:

Work Fax:

E-mail:

Website:

Describe your company's interest in or commitment to Sustainable Development:

"GREEN" PROJECTS:

You may futher describe up to three projects in which you or your company have some involvement. We're looking for projects with a whole building systems approach but innovative "green" components are also of interest. You may e-mail a project photo in gif or jpeg format. Please limit file size to 75K+/-

Project 1:

City:

Year:

Cost:

Project 2:

City:

Year:

Cost:

Project 3:

City:

Year:

Cost:

Please send us
your comments:

Under Construction - Until the page is fully functioning, please copy the form electronically and e-mail to admin@adpsr-norcal.org.