Sherwood Citizens Police Academy Alumni Association (SCPAAA)

Membership Information - Dues are payable January 1 of each year

Please select your membership type below:

	Membership	Description	Annual Dues
____	Regular	SCPA Participant	$20.00
____	Associate	Must be verified eligible to attend Sherwood Citizens Police Academy	$10.00
____	Business	GOLD Level Membership **	$150.00
____	Business	SILVER Level Membership **	$120.00
____	Business	BRONZE Level Membership **	$80.00
____	Honorary	Sponsor:____________________________	$0.00

**Business memberships are tax-deductible: http://www.irs.gov/pub/irs-pdf/p1771.pdf

SCPA Class number on your certificate: ______________

First Name:



MI:



Last Name:



Mailing Address:

City State & Zip

E-mail Address:

Residence Address:

Business Name:

Mailing Address

Physical Address:

City State & Zip

Phone Numbers (please include area code)

Office:

Mobile:

Home:

Committees: Please circle below

committee(s) on which you are willing to serve:

SCPAAA Membership Public Listing

Program                            Bylaws

Membership                    Nominating

Public Relations             Finance/Audit

Other

Check here   _______

if you DO NOT

wish to be included

in the SCPAAA public listing.

For SCPAAA Treasurer�s Use
Amount Remitted:		Comments:
Check/Payment#:		Date:

Mail to:

SCPAAA
PO Box 6086
Sherwood, AR 72124-6086

Welcome

Sign In or Register

First Name:	MI:	Last Name:
Mailing Address:
City State & Zip
E-mail Address:
Residence Address:
Business Name:
Mailing Address
Physical Address:
City State & Zip

Phone Numbers (please include area code)

Office:	Mobile:	Home:

Sherwood Citizens Police Academy Alumni Association (SCPAAA)

Law Enforcement

Membership Information - Dues are payable January 1 of each year

Welcome