Membership Dues

Individual Membership
If received before February 29, 2008 = $45.00
If received after February 29, 2008= $60.00

Business Membership  (Not Law Enforcement Agencies)
If received before February 29, 2008 = $200.00
If received after February 29, 2008 = $250.00

All memberships are for the calendar year.

Choose one of the following options for membership:

Individual membership - $45.00  (Prior to February 29, 2008)
Business membership - $200.00  (Prior to February 29, 2008)

Please provide the following contact information:

Name:
Title:
Organization:
Address 1:
Address 2:
City: State: Zip:
Work Phone:
Fax:
E-mail:
# of Officers participating in the trading card program

Comments:

Choose one of the following payment options:

Purchase Order : Purchase Order #
Check enclosed - print this form and mail to:
        MCPA/MN Crime Watch
        MCPA membership
        1430 Maryland Ave. E.
        St. Paul, MN 55106