Page 25 - NCISS Your Advocate August 2018
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NATIONAL COUNCIL OF INVESTIGATION & SECURITY SERVICES, INC.


                                      “Our Voice in Washington, DC and Across America”

                                           Mail to –P.O. Box 200615, Evans, CO. 80620-0615
                                   Email to – NCISS1976@yahoo.com     Fax to – (970) 480-7794


                                      Annual Membership Dues Renewal



                           Please note: If you joined before June 2015, your dues are based on the calendar year.
                             If you joined after June 2015, your dues renew annually on your anniversary date.


        Please verify that information is current on your NCISS profile.

        Visit  www.nciss.org/member-search and search your name or login at www.nciss.org/login - you can also pay
        your dues online from your profile.


               Please complete the following only if you have any changes and submit with your payment:


           Member Name: ______________________________________ Agency: ___________________________________________

                      Mailing Address: __________________________________________________________

                      City, State and ZIP: ________________________________________________________

                      Email Address: ___________________________________________________________

                       Office Phone: _______________________   Cell Phone:  __________________________

                       Amount Due – Regular / Gold   Affiliate    Associate     Service
                                     $175          $175           $75           $250
                            (Association memberships – please contact Executive Director Karen Beers directly)


                              NCISS CREDIT CARD AUTHORIZATION FORM
                         Member Name:

                         Credit Card No.:

                         Credit Card:              CVV No.       Expiration:       Billing ZIP:
                         VISA   MC   Amex



                         MEMBER DUES: __________ ( __ REGULAR  __ AFFILIATE  __ ASSOCIATE  __ SERVICE)

                         LEGISLATIVE DONATION: __________

                         AMOUNT TO CHARGE: _______________

                          Please consider a Legislative Fund Donation and a donation of $5 to offset credit card processing fees
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