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TCWPA MEMBERSHIP APPLICATION |
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| Name _________________________________________________________________________ |
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| Organization Name if
applicable _____________________________________________________ |
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Mailing address __________________________________________________________________ (Street or P O Box)
______________________________________________________________________________
city
state
zip |
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| Telephone (H) ______________ (W) _____________ (FAX) ____________________ |
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| E-mail (optional)
________________________________________________________ |
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| Amount Enclosed ________________
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Categories of
Membership: |
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| Sergeant | $35.00 | |||
| Lieutenant | $50.00 | |||
| Captain | $100.00 | |||
| Major | $250.00 | |||
| Colonel (Corporation) | $500.00 | |||
| General | $1000.00 | |||
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Please make check payable to TCWPA and mail to : TCWPA |
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