360ARMOR Membership Inquiry

360ARMOR Membership Inquiry
LEO? Ready to join our fitness and wellness challenge?

Or just want to know more? Fill out this form.
Name*

First NameLast Name
Personal e-mail *
Home Mail*
Work e-mail
Are you a current (or honorably retired) local, state, or federal government employee who is commissioned or sworn as a peace officer with powers of arrest?
Leo

YesNo
Law Enforcement Agency *
Agency *
Your agency's website address? *
Work URL*
What is the phone number for general calls into your agency that would be normally used to leave a message for you? Please use a publicly listed phone number if possible. *
Public Work Phone*

Area CodePhone Number
If this phone number is listed on your employer's website, please provide the website address where it is viewable.
Work URL
What is the email address for general inquiries to your agency? *
Work Public email*
If this email address is on your employer's website, please provide the website address where it is viewable.
Viewable email URL
Where do you report to duty? *
Work Station*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If you are retired, tell us the name, work email address, and work phone of someone from your agency who can confirm your LEO identity.
Retiree Verify Contact
Enter the message as it's shown*
Should be Empty: