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Application for Membership

This form should be used to join the Society or to pay annual dues.

Please complete all information. If you wish to pay by credit card, fill in the application below and click on the "To Pay By Credit Card" button below. The form will be electronically submitted and you will be transferred to a secure server to give your credit card information.

If you wish to send in a check, please complete and submit this form and then send payment to the address below.

Do you want to be listed on our members list on our web site? Yes No
Name: (Last, First, M.I.)
Highest Degree Earned: (degree & field)
Granting Institution & Date:
Current Position Title:		Include on web site? YesNo
Agency:		Include on web site? YesNo
Business Address:		Include on web site? YesNo
Home Address:
Do you prefer information to be sent to your: Home address, or Office address?
Business Phone:		Include on web site? YesNo
Home Phone:
Fax:		Include on web site? YesNo
Email Address:		Include on web site? YesNo
List three areas of specialty or current research interests:
Are you: Applying to become a new member, or Paying annual dues (already a member)

Yearly Dues $50.00 (includes Journal)
Student Membership Dues $35.00 (includes Journal)

If you do not want to pay online, and you would prefer to mail a check, submit this form and then send a check payable to the "Society for Police and Criminal Psychology" to:

Dr. JoAnne Brewster
Secretary, Society for Police and Criminal Psychology
Department of Graduate Psychology, MSC 7704
James Madison University
Harrisonburg, VA 22807
(540) 568-6107
(540) 568-3322 (fax)
brewstja@jmu.edu