Membership Form

Do you have an interest in any aspect of traffic safety including:  Seat Belt Safety, Alcohol/Impaired Driving, Child Safety Seats, Motor Carrier Safety, Aggressive Driving Issues, Corporate Traffic Safety, Distracted Driving Issues, Military Driving Issues, and Other Traffic Safety Topics.

DRIVE SAFE HAMPTON ROADS is a non-profit 501 (c)(3) organization whose mission is to improve highway safety and reduce death and injury from vehicle crashes. Membership is open to anyone interested in preventing death and injury on our highways.

In order to support our efforts, we ask that all members make a voluntary yearly contribution of $10.00 or more.  Click here for our contribution letter.

If you would like to become part of this action-oriented organization, please fill out the membership application below: