NMLEA Membership Application/Renewal

NMLEA Membership Application/Renewal

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Name*

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number*

Area CodePhone Number
Your Email*
example@example.com
Your Employment Status*

Active LEOReserve LEORetired LEOActive Pub. SafetyRes. Public SafetyRet. Public SafetyActive MilitaryRes. MilitaryRet. MilitaryOther
As a NMLEA Member, please check the areas that you are most interested in, so that we can ensure the best experience for you and other members. Check all that are important to you.

TrainingCustomized/Tailored TrainingWorkshopsNational ConferencesParticipating in CommitteesWebinarsPodcastsLegal AssistanceConsultationTraining AssessmentsExercises (Planning, design, evaluation.)Training Staff AssistanceGovernment Affairs/AdvocacyProduct Selection AssistanceAccess to maritime specific gear and productsOther
Name of Law Enforcement/Public Safety/Military Organization that you work for*
Name of your Supervisor*
Your Supervisor's Email Address (for verification)*
Your Supervisor's Phone Number (for verification)*

Area CodePhone Number

Type of Membership (Agency memberships will be quoted and priced separately)*

1 Year Individual Officer Membership$39.95

3 Year Individual Officer Membership$99.95

Lifetime Individual Officer Membership $300.00

1 Year Associate Individual Membership$395.00

3 Year Individual Associate Membership$995.00

1 Year Corporate Membership$695.00

3 Year Corporate Membership$1,995.00

Total $0.00

Enter the message as it's shown*
By summitting this membership application, the individual making this submission verifies that the infomation contained in this application is truthful, and that the individual is or has been a sworn maritime law enforcement officer, public safety officer, or military member, and agrees to the terms and conditions of Membership as outlined on the NMLEA website.
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