International Association of Campus Law Enforcement Administrators 342 North Main Street, Suite 301, West Hartford, CT 06117-2507 PHONE: (860) 586-7517 * FAX: (860) 586-7550 * Email Address: [email protected] * Website: www.iaclea.org US Institutional Membership Application Membership Period: September 1 – August 31 US Institutional Membership - provides full membership privileges for the Institutional Representative (i.e., the individual who coordinates the campus public safety program for the institution) plus additional Professional Members (i.e., an employee of a member institution holding an executive, managerial, or supervisory position) depending on the member package purchased. Institution Name: Sworn: Non-Sworn: Four year: Two year: Public: Private: Armed: Unarmed: K-12: Institutional Representative Name: Title: E-mail Address: City: Country: Phone: State/Province: Postal Code: Dues Schedule 4 Year Institutions (US only) To purchase the membership package for your institution, select the appropriate category below. Full time enrollment >1,999 (4A) 2K-4,999 (4B) 5K-9,999 (4C) 10K-19,999 (4D) 20K+ (4E) Tier 1 Member Package IR + 6 Prof members $350 $400 $425 $450 $525 Tier 2 Member Package IR + 12 Prof members $450 $500 $525 $550 $625 Tier 3 Member Package IR + 18 Prof members $550 $600 $625 $650 $725 2 Year Institutions/K-12 schools (US only) Full time enrollment >1,999 (2A) 2K-4,999 (2B) 5K-9,999 (2C) 10K-19,999 (2D) 20K+ (2E) Tier 1 Member Package Tier 2 Member Package Tier 3 Member Package IR + 6 Prof members IR + 12 Prof members IR + 18 Prof members $225 $250 $300 $325 $350 $325 $350 $400 $425 $450 $425 $450 $500 $525 $550 Next add the names of the Professional Members (i.e., employee of a member institution holding an executive, managerial, or supervisory position) who will be included with the Institutional Membership package purchased. All Professional members will be notified once their membership is activated. Tier 1 Member Package Professional Member Name 1 2 3 4 5 6 Title Email Tier 2 Member Package 7 8 9 10 11 12 Tier 3 Member Package 13 14 15 16 17 18 Phone Payment Information Amount Enclosed: $ 0 Credit Card: MasterCard VISA AMEX Card Number: Name on Card: CVM: Exp. Date: / Signature: Confirmation/Receipt Email Address: Fax to: +1-860-586-7550 Check - Make check payable to: IACLEA Mail to: IACLEA 342 North Main Street, Suite 301 West Hartford, CT 06117-2507, USA New members: membership applications are processed weekly. Once processed, a new member packet will be mailed. Please feel free to email us at [email protected] with any questions.
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