Membership Application

Annual Membership Dues are $40.00

Please complete this form to apply for membership.

Name:*
Email Address:*
Phone*
Phone Ext:
Title:*
Agency:*
Address Line 1:*
Address Line 2:
City:*
State/Province:*
Zip or Postal Code:*
Country:*
Please check all that apply:*
- Driving Instructor
- Management
- Supervisor
- Line Officer
- Victim Advocate
- Vendor
(If you checked Driving Instructor above) Please list training date and location:
List your Facebook profile link to be invited to our private Alert Community on Facebook:
Would you like to receive a Username & Password to participate in our Member Only Message Board?
- Yes
- No
How did you hear about ALERT International?
Additional comments or questions:
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Application Fee
Price: $40.00
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Don’t Miss Out on Some Outstanding and Superb Training Activities, Including One Entire Day at the New Kansas City PD Training Center

September 25th - 28th in Kansas City, Missouri