NMLEA Membership Application/Renewal

NMLEA Membership Application/Renewal

(This information will not be shared, and will be securely processed immediately through Stripe, our secure online payment services.)
Name *

First Name Last Name
Your Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Your Phone Number *

Area Code Phone Number
Your Email *
example@example.com
Your Employment Status *

Active LEO Reserve LEO Retired LEO Active Pub. Safety Res. Public Safety Ret. Public Safety Active Military Res. Military Ret. Military
As a NMLEA Member, please check the areas that you are most interested in, so that we can ensure the best experience for you and other members. Check all that are important to you.

Training Customized/Tailored Training Workshops National Conferences Participating in Committees Webinars Podcasts Legal Assistance Consultation Training Assessments Exercises (Planning, design, evaluation.) Training Staff Assistance Government Affairs/Advocacy Product Selection Assistance Access to maritime specific gear and products
Name of Law Enforcement/Public Safety/Military Organization that you work for *
Name of your Supervisor *
Your Supervisor's Email Address (for verification) *
Your Supervisor's Phone Number (for verification) *

Area Code Phone Number

Type of Membership (Agency memberships will be quoted and priced separately) *

1 Year Individual Officer Membership $ 39.95

3 Year Individual Officer Membership $ 99.95

Lifetime Individual Officer Membership $ 300.00

1 Year Associate Individual Membership $ 395.00

3 Year Individual Associate Membership $ 995.00

1 Year Corporate Membership $ 695.00

3 Year Corporate Membership $ 1,995.00

Total $ 0.00

Enter the message as it's shown *
By summitting this membership application, the individual making this submission verifies that the infomation contained in this application is truthful, and that the individual is or has been a sworn maritime law enforcement officer, public safety officer, or military member, and agrees to the terms and conditions of Membership as outlined on the NMLEA website.
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