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Travis County Sheriffs' Law Enforcement Association

Auxiliary Membership Application

NAME: 
First name

Initial

Last name
BUSINESS/ORGANIZATION: 
POSITION/TITLE: 
BUSINESS ADDRESS: 
  
City

State

Zip Code
HOME ADDRESS: 
  
City

State

Zip Code
PHONE: 
Work
 
Home
INTERNET: 
Email

Web address
SEND INFO TO:  Work Address    Home Address
REGISTERED VOTER?  Yes    No County/State:
ELECTED OFFICIAL?  Yes    No Title:
MEMBERSHIP: Individual Annual Membership - $75.00
Small Business Annual Membership
  Corporal $500   Sergeant $750   Captain $1,000
  Corporate/Major Employer Annual Membership*
9/11 USA Project Sponsorship*

* Please call 512-479-8900 for details on Corporate Membership or 9/11 USA Project Information
  I would like to be listed on the TCSLEA web site (business members only).
I would like to be contacted for TCSLEA events and activities.
I would like to receive TCSLEA email updates.
I would like to receive the TCSLEA newsletter.

Print this form and mail with your payment to 811 Barton Springs Road, Suite 215, Austin TX 78704. Please make checks payable to Travis County Sheriffs' Law Enforcement Association (TCSLEA).

Travis County Sheriffs' Law Enforcement Association is a 501(c)(3) non-profit organization..
 
 

©2002 The 9/11 USA Project and TCSLEA.
 

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