Membership Form

Membership

Annual membership dues are $10. Complete the form below and your completed membership form will be sent to your e-mail. Then send or take your membership dues and membership form to the Central Chapter Treasurer to complete your membership.

Type of Membership(*)

NEW

RENEWAL

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NAME(*)

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ADDRESS(*)

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EMAIL(*)

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OFFICE TELEPHONE(*)

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CELL PHONE

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AGENCY or BUSINESS(*)

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OCCUPATION(*)

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RANK OR TITLE(*)

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I hereby apply for membership in the Central Chapter of the Western States Auto Theft Investigators and agree to abide by the Constitution and By-Laws.

DATE(*)

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reCAPTCHA(*)

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