ASSOCIATE MEMBER APPLICATION
Associate Black Shield members are members of the public who support the mission of The Black Shield. Membership dues are $5/month. Dues are collected at the time of acceptance.
The Black Shield reviews applications on the 15th of every month. You will receive notification via email.
First and Last Name
Street Address, City and State
Who is your Black Shield Police Association reference name?
Please denote a current Black Shield Police Association member who will serve as your personal reference.
Are you interested in volunteering with the Black Shield Police Association?
Yes, please contact me!
No, thank you!
A copy of your responses will be emailed to the address you provided.
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