Western States Auto Theft Investigators Northwest Chapter

Membership Applications-New and Renewal

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COPY & PASTE THE APPLICATION YOU NEED ONTO A BLANK WORD DOCUMENT AND MAIL TO THE ADDRESS BELOW

 

 

 

NEW MEMBERSHIP APPLICATION

 

I,                                                   , hereby wish to apply for membership in the Northwest Chapter of the

Western States Auto Theft Investigators and herewith tender, in advance,  dues of $15.00

 

I am presently a commissioned police officer or have been duly retired as a commissioned police officer or have a membership approved as a non-police officer member.

 

Present Mailing Information:     (Please print legibly)

 

Name:

 

Street Address or P. O. Box:

 

City & State or Province:

 

Business Phone#:              E-Mail Address:

 

Note: Annual Dues are for the period of January 1st, 2008 through December 31st, 2008

 

 

****************************** Tear Here *****************************

 

 

Western States Auto Theft Investigators - Northwest Chapter

 

Received of                                        , annual dues in the amount of $________

For the period of January 1st, 2008 through December 31st, 2008.

 

 

Dated: ________________                              ____________________________________________

                                                                                                          (Association Secretary-Treasurer)

 

 

Mail to:   NW CHAPTER WSATI, P.O. Box 527, Dupont WA 98327

 

 

MEMBERSHIP RENEWAL APPLICATION

 

I,                                 , hereby wish to renew my membership in the Northwest Chapter of the

Western States Auto Theft Investigators and herewith tender, in advance, annual dues of $10.00 

 

I am presently a commissioned police officer or have been duly retired as a commissioned police officer

 or have a membership approved as a non-police officer member.

 

Present Mailing Information:     (Please print legibly)

 

Name:

 

Street Address or P. O. Box:

 

City & State or Province:

 

Business Phone#:              E-Mail Address:

 

Note: Annual Dues are for the period of January 1st, 2008 through December 31st, 2008

 

 

****************************** Tear Here *****************************

 

 

Western States Auto Theft Investigators - Northwest Chapter

 

Received of                                        , annual dues in the amount of $________

For the period of January 1st, 2008 through December 31st, 2008.

 

 

Dated: ________________                              ____________________________________________

                                                                                                          (Association Secretary-Treasurer)

 

 

Mail to:   NW CHAPTER WSATI, P.O. Box 527, Dupont WA 98327

 

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