Officer Kevin Tabor

TEXAS SCHOOL DISTRICT POLICE CHIEFS’ ASSOCIATION

Application for Membership (Please Print or Type)

Name: ______Date: ______

Date of Birth: ______Male _____ Female ____ SS# ______

School District: ______Position: ______

Address: ______Street City State Zip Code

Office Phone: ______Fax: ______

E-Mail: ______

Voting Member ______Non-Voting(Associate) Member ______

Annual Membership Dues of $25.00 must be submitted with application. The Annual Membership Dues cover the period of July 1 through June 30 for both voting and non-voting (Associate) members. The Annual Membership Dues will not be prorated.

For Office Use Only

Application/Annual Dues Received By: ______Date: ______

Membership Approved: ______Date: ______Yes No

_____Voting Member Non-Voting Member _____

------Applicant’s Receipt

Amount Received ______Cash ______Check # ______

Received By ______Date: ______

____Voting Member Non-Voting Member _____

Membership dues for July 1, ______through June 30, ______

Mail to: Texas School District Police Chiefs Association Chief Alan Bragg, Treasurer 210 North Forest Blvd. Houston, Texas 77090