<p> TEXAS SCHOOL DISTRICT POLICE CHIEFS’ ASSOCIATION</p><p>Application for Membership (Please Print or Type)</p><p>Name: ______Date: ______</p><p>Date of Birth: ______Male _____ Female ____ SS# ______</p><p>School District: ______Position: ______</p><p>Address: ______Street City State Zip Code</p><p>Office Phone: ______Fax: ______</p><p>E-Mail: ______</p><p>Voting Member ______Non-Voting(Associate) Member ______</p><p>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.</p><p>For Office Use Only</p><p>Application/Annual Dues Received By: ______Date: ______</p><p>Membership Approved: ______Date: ______Yes No</p><p>_____Voting Member Non-Voting Member _____</p><p>------Applicant’s Receipt</p><p>Amount Received ______Cash ______Check # ______</p><p>Received By ______Date: ______</p><p>____Voting Member Non-Voting Member _____</p><p>Membership dues for July 1, ______through June 30, ______</p><p>Mail to: Texas School District Police Chiefs Association Chief Alan Bragg, Treasurer 210 North Forest Blvd. Houston, Texas 77090</p>