L.E.I.R.A. Membership Application


	ABOUT US Board Members MEMBERSHIPS Applications By-Laws Members TRAINING Regional Training Property/Evidence Conference Training Training Request RESOURCES Forms Book Meeting Minutes Newsletter Reports Retention Manual UCR/NIBRS CONTACT US

              L.E.I.R.A. Membership

              You may use this online registration form or click here to download the registration form.
              Would you like to print & mail your form?    CLICK HERE
              If you would like to proceed on-line please fill out the form below.

             Renewal / Agency is joining L.E.I.R.A. FOR THE FIRST TIME
           FIRST TIME THIS PERSON HAS BEEN A MEMBER OF L.E.I.R.A.

Name
Title
Department/Agency
Address
City, State, Zip
E-Mail
Telephone
Fax
****************************************************************************** ACTIVE & ASSOCIATE MEMBERSHIP: Each Washington State Law Enforcement Agency MUST HAVE ONE Active Member who serves as the voting member for that Agency; all additional employees of that agency are Associate Members. (Any employee may join on their own by making personal payment and application to L.E.I.R.A., with approval from their agency.) CHECK “NEW” BOX IF THIS IS THE FIRST TIME THIS PERSON HAS BEEN A MEMBER OF LEIRA Please include which committee you would like to participate on. Please write each members email address, as this is how all information about conferences, newsletters, etc. is disseminated through L.E.I.R.A..
Name of Member	New?	Active $50	Associate $30	Committee Participation	Email Address