Complete this form and click the submit button to receive more information on joining Region 14.

           LAST NAME   FIRST NAME      MIDDLE ADDRESS (STREET & #)

    CITYSTATEZIPCODE     PHONE NUMBER       EMAIL ADDRESS

PLEASE CONTACT ME BY (PHONE OR EMAIL):IF BY PHONE, THE BEST TIME TO CALL IS:

STATUS: RETIRED/ACTIVE:NAME OF DEPARTMENT/ORGANIZATION:

APPLICATION FOR MEMBERSHIP

Membership shall be open to all serving and/or retired members of a duly organized Police Force, Department, or Agency, who are or were employed full time in the enforcement of the general criminal laws of their State or the United States Government (except members of the Military Police). Membership fee, upon application, is $25.00. Renewal dues shall be $25.00 per year. The enrollment date is the date the member is enrolled, and a number is issued, by the National Secretary General, U.S. Section. When the number is obtained by the Region, the member shall receive an International Membership ID, Lapel Pin and National Newsletter. Payments may be deductible as miscellaneous itemized deductions for Federal Tax purposes.  Click here for a copy of our application which should be completed and mailed to the address listed on the form.

JOIN REGION 14

REGION 14

This page was last updated: October 29, 2011