International
Association of
Arson Investigators
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OHIO CHAPTER |
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I am presently a member in good standing in the International Association of Arson Investigators, Inc., and hereby make application for ACTIVE MEMBERSHIP in the Ohio Chapter of the International Association of Arson Investigators, in accordance with its Constitution and By-Law’s, and agree to be bound therewith. Enclosed is my $20.00 membership fee. |
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I am not a member of the International Association of Arson Investigators, Inc., and hereby apply for ASSOCIATE MEMBERSHIP in the Ohio Chapter of the International Association of Arson Investigators, Inc., in accordance with its Constitution and By-law’s, and agree to be bound therewith. Enclosed is my $30.00 membership fee. |
PLEASE TYPE OR PRINT INFORMATION
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Full Name: |
Date of Birth: / / |
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E-Mail Address: |
Home Telephone: ( ) |
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Home Address: |
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State: County: |
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Employer: |
Business Telephone: ( ) |
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Business Address: |
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Position Held: |
How Long? |
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Recommended by a member in good standing: (Please Print) |
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Member’s Signature: IAAI / ID # |
Date: |
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Applicant’s Signature: IAAI / ID # |
Date: |
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Please send correspondence to: ? My Home ? My Business |
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Return to:
Deborah L. Carter
Secretary/Treasurer, Ohio Chapter I.A.A.I.
P.O. Box 202
Reynoldsburg, Ohio 43068
614-752-7109
2/2003/dlc