Page 39 - VCT October 2022
P. 39
International Association
Of Auto Theft Investigators
P.O. Box 472
Westminster, MD. 21158-0472
(443) 677-9420 Fax (443) 327-4234
APPLICATION FOR MEMBERSHIP/RENEWAL
NAME________________________________________________MEMBER#(Renewals)_____________
HOME ADDRESS______________________________________________________________________
CITY_________________________________________ STATE/PROVINCE_______________________
ZIP/POSTAL CODE_________________ CODE/COUNTRY____________________________________
AGENCY OR BUSINESS NAME__________________________________________________________
ADDRESS_____________________________________________________________________________
CITY__________________________________________STATE/PROVINCE______________________
ZIP/POSTAL CODE_________________CODE/COUNTRY____________________________________
OCCUPATION___________________________________RANK/TITLE__________________________
PHONES: HOME( )________________WORK( )________________FAX( )_________________
E-MAIL ADDRESS_____________________________________________________________________
If you belong to an IAATI Regional Chapter(s) and/or State(s) Theft Association, please list here:
___________________________________________________________________________________________________________
If you are retired from a Law Enforcement agency:
Date Retired: _______________________ Name of Agency___________________________________________________________
MAIL CORRESPONDENCES TO: BUSINESS ADDRESS HOME ADDRESS
THIS SECTION MUST BE COMPLETED FOR ALL NEW MEMBERSHIP APPLICATIONS
Recommending Member/Supervisor: __________________________________________________________________________
Title/Position: ____________________________________________IAATI Member # _______________
Telephone: ( ) ______________________________________________________________________
ALL INFORMATION WILL BE VERIFIED BY AN IAATI REGIONAL REPRESENTATIVE
PRIOR TO THE PROCESSING OF THE MEMBERSHIP APPLICATION BY IAATI.
INSTRUCTIONS: Mail completed application, along with check, money order or credit card information to:
IAATI EXECUTIVE OFFICES P.O. Box #472, Westminster, MD. 21158-0472
Make checks payable to IAATI
Payment of dues must accompany membership application - All payments must be in U.S. Funds. Dues are $ 55.00 for a new member
and $ 50.00 for renewals. Visa, Master Card, Discover and American Express accepted.
Credit Card #__________________________________________Expiration Date____________________
Card Holders Name_____________________________________Signature_________________________
