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International
Association of Undercover Officers
Application for Membership |
Title/Name: |
_______________________________________ |
Agency: |
________________________________________________ |
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Unit: |
__________________________________________ |
Work Phone: |
( _______ ) _____________________________ |
Other: |
( ______ )________________________________________ |
| Agency Address: |
_______________________________________ |
City: |
_________________ |
State: ____ |
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| Country |
________________ |
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Zip Code: |
_________________ |
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Fax Number: |
( ______ ) __________________________ |
E-Mail: |
___________________________________________ |
Type of Membership Applying for: |
_XX__ |
Regular |
$35.00 |
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Visa/Master Card Number: |
________________________ Expiration: ___________ |
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Please print and mail with payment
to:
IAUO
142 Banks Drive
Brunswick, GA 31523
Questions? Call: 800-876-5943
Or FAX TO: 800-876-5912 with Visa/MasterCard Information
Copyright 2004, International Association of Undercover Officers,
Inc. All rights reserved |