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

Other
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.

Other
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

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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