APPLICATION FOR MEMBERSHIP IN THE
Public
Safety Writers Association
Type of Membership Requested (circle one):
"Writer" Membership
($55.00 per year) Includes all previously listed benefits
"Corporate Sponsor" Membership
($250.00 per year) Includes one free membership above, plus a listing in
each quarterly issue of The Public Safety Writer
| Membership Name: | |
| Mailing Address: |
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| Home Phone: | |
Business Phone: |
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| E-mail address: | |
| Previously Published Works, if any: (Use a
separate sheet if appropriate).
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| A Short Biography, including your
"police" affiliation: (Use a separate sheet if you desire).
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Payment: Check or Money Order Enclosed.Make checks or departmental vouchers payable to: Public Safety Writers Association
Return this completed application to:
The Public Safety
Writers
Association
2024 Falcon Court
Bellingham, WA 98229