Sheriffs' Association of Texas Membership Application

Please check one of the following

*Active Membership  ___($25.00 annual dues)   

*Associate Individual Membership ___($20.00 annual dues)

Associate Business Membership ___ Gold ($500.00) ___ Silver ($250.00)

					___ Bronze ($100.00)

Please Print or Type all Information

Name & Title (if Applicable): ________________________________________

County/Agency/Business: ______________________________________________

Mailing Address: _____________________________________________________

City, State & Zip: ___________________________________________________

Payment Method

___ Cash, Check, M.O. Payable to: Sheriffs Association of Texas

___Visa ___ Mastercard Card #: ________________________ Exp. Date______

*Beneficiary for AD&D Insurance: ______________________________________

*Membership includes AD&D Insurance Coverage, Membership Card, Window 
Decals. and a quarterly subscription to the Texas Lawman. The Sheriffs'
 Association of Texas is registered with the Texas Secretary of State 
and is a member of the Better Business Bureau. The Sheriffs' Association
 of Texas has been granted status under section 501(c)(3) of the IRS 
Code. This may make your dues deductible for income tax purposes.