National Black State Troopers Coalition Membership Application

The National Black State Troopers Coalition Membership Qualifications:
Any State Trooper who is an active or retired member of a State Police, State Patrol, State Highway Patrol or State Department of Public Safety Agency and in good standing with their State Chapter, if one exist. Individual members must support the interest of furthering the goals and objectives of the NBSTC. * Return with $25.00 membership fee and copy of credentials
All individuals of any law enforcement agency who do not meet the qualifications for chapter membership(s) and who support the interest of furthering the goals and objectives of the NBSTC. An Associate Member may be elected to any office with the exception of the offices of President and Vice President. *Return with $25.00 membership fee and copy of driver’s license
All civilian business community supporters interested in furthering the goals and objectives of the NBSTC. * Return with $75.00 membership fee and Business card.
Name *
Rank:
Address: *
                                                         State                 Zip
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Agency:
Job Description, i.e. patrol, investigations, etc.:
Instructor Certifications check here.
Work Address:
State                   Zip
State Chapter Name, if one exist:
By applying for membership with the National Black State Troopers Coalition, Inc., I hereby agree to abide by the By-Laws and Constitution established by the N.B.S.T.C.
Signature of applicant: *
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