Crime Stoppers International, Inc.

Associate Membership Application

CSI ASSOCIATE/ALUMNI MEMBERSHIP YEAR - January 1st to December 31st

Payments received after June 1 are applied to the upcoming fiscal year.

Crime Stoppers International, Inc. Membership dues for associate members are on a fiscal year of January 1 to December 31. Membership as an Associate and Alumni Member of Crime Stoppers International, Inc. is pursuant to the CSI Bylaws, Article X, Membership, Section 3 (B) (1).

Associate and Alumni Members. Any past or present member of the Board of Directors, past or present law enforcement coordinator or assistant coordinator or media participant of any Crime Stoppers program that is a member of Crime Stoppers International, Inc. may be eligible for Associate Membership. Associate memberships are personal and cannot be transferred.

Return this notice with your payment (in U.S. Dollars, Please). Checks payable to Crime Stoppers International, Inc. should be mailed to: PO Box 614, Arlington, TX 76004-0614.

Associate and Alumni Membership

Name :______________________________

Mailing Address: ______________________________

City:___________________________, State/Prov:_______________, Zip:__________, Country:___________

Phone:____________________; Fax: ____________________, E-mail:_________________

Program Affiliation(if any): __________________; Program Name: ______________; Date: ___________


Amended January 2001

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