Page 35 - VCT September 2022

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_________________________