NCSA Honorary Citizen Membership


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    Please enter your name and address in the spaces provided. Then print the form and mail it to the
    North Carolina Sheriffs' Association.
      North Carolina Sheriffs’ Association
      Post Office Box 20049
      Raleigh, North Carolina 27619

First Name, Middle Initial
Last Name, Suffix
Mailing Address
Address (cont.)
City
County of Residence
State
Zip Code

Your membership entitles you to the following.

4 Honorary Membership Card
4 Window Decal for your car or business
4 Bumper Sticker
4 Subscription to The North Carolina Sheriff Newsletter
4 Stick-on Calendar

Membership dues

    Honorary Citizen Member - $25.00
   Auto Tag at $5.00 each
   Auto Tag Frame at $5.00 each
   Motorcycle Tag Frame at $5.00 each
   Additional Donation $
                                  TOTAL

  Mail this form with your Check or Money Order
  made payable to:
      North Carolina Sheriffs’ Association
      Post Office Box 20049
      Raleigh, North Carolina 27619