Join Us Membership Application We would be glad to have you join us. The fee for Active & Non-Uniform members is $25.00. Retirees pay $15.00. Please fill in the following information and submit this application. Once the form is complete and submitted, you will be redirected to our Paypal page where you can submit the payment for membership. A Paypal account is not required to make payment. You may use your credit or debit card. If you prefer to not register online click here to print out the application and return it to us with your payment. Name* First Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneShieldFacilityRankDate of Appointment Date Format: MM slash DD slash YYYY Beneficiary* First Last AgencyCityStateFederalAre you Uniform or Non-Uniform?*UniformNon-UniformPlease check which committees you would like to serve on:* Fundraising Membership Grievance Mentoring Legislative Education Web/Technology Newsletter I do not wish to serve on any committees at this time. Are you retired?*YesNoIs this a new membership or renewal?*NewRenewalActive/Non-Uniform Membership Fee Price: $25.00 Retiree Membership Fee Price: $15.00 Add additional $5.00 if you wish to donate toward Scholarship Fund*Yes - $5.00 Scholarship DonationNo DonationTotal $0.00 Δ
