New Membership Form

 

Personal Information
	Send my publication(s) to:	Home   Agency
	Membership Type:	Select... Individual $30 Team $125 Corporate $350
	First Name:	Initial:   Last Name:
	Rank:
	Assignment:	Full Time SWAT   Patrol   CNT   TEMS   Part Time Swat   Other
	Email:
	Personal Agency Email:
	Address Line 1:		Address Line 2:
	City:	State:  Select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oregon Oklahoma Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   Zip:
	Phone:	Fax:
	All applications must be accompanied by an ID Card. You may upload your ID now, fax to 800-257-1978 or mail to the Association.
	Upload ID Card
Agency Information
	Agency Name:
	Address Line 1:		Address Line 2:
	City:	State:  Select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oregon Oklahoma Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   Zip:
	Phone:	Fax:
	Population Served by Agency:	Number of Sworn Officers in Agency:
Team Information
	Team Name:
	Team Status:	Full Time   Part Time
	Multi-jurisdictional?:	Yes   No   If yes, list other departments on team:
	# Tactical Members:	# Negotiators:   # TEMS:
	# Sworn TEMS:	# Bomb Technicians:
	Multi Geographic Area Served:	Multi-Jurisdictional population served:  # Training Hours: