Join The BRSA

Fee Chart
1 - 100 Employees $200.00
101 - 500 Employees $300.00
501 - 1000 Employees $400.00
1001 or more Employees $500.00

Individual Memberships
Professional $50.00
Student $10.00

All dues are renewed annually


BRSA MEMBERSHIP APPLICATION

Name of Organization: ______________________________________

Address: ______________________________________

_____________________________________________

Contact Name: ______________________________________

Daytime phone: ___________________

Evening phone: ___________________

Email: ______________________________________

Number of employees: _______

Individual $50.00 __________

Student $10.00 __________

Amount Due __________

Please Detach and mail with payment to:

Blue Ridge Safety Association
1 Solutions Way
Waynesboro, VA 22980


Or, call us at (540) 942-2222