CNA Membership Application

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MEMBERSHIP APPLICATION

Purpose
“The purpose of the Crisis Negotiators Association of Wisconsin is to promote training in the areas related to crisis negotiations and encourage cooperation among crisis negotiators.”
Benefits
Annual Training, Network with Accomplished Crisis Negotiators, Newsletters, Source of Reference Materials, Input into Direction of Negotiator Training in the State of Wisconsin
Membership
Membership in the Crisis Negotiators; Association of Wisconsin is available to any person engaged in the field of law enforcement on a full or part-time basis. All applications must be accompanied by a letter of sponsorship on your department letterhead. Membership annual dues are $20.00 per person, or $200 per department.

Please mail application to:

Denise N. Schultz

Portage Co. Sheriff’s Dept.

1500 Strongs Ave.

Stevens Point, WI 54481

715-346-1400 w

715-340-9809 c

denischultz@yahoo.com

schultzd@co.portage.wi.us

AGENCY MEMBERSHIP APPLICATION
Annual Dues:
$20.00 – Individual Memberships OR
$200.00 – Agency Membership(Criteria up to 10 members)
(please type or print)

Agency Name: _________________________________________________________________________________

Agency Address:________________________________________________________________________________
                                                                 Street                                 City              State            Zip

Agency Phone:_________________________________ Agency E-mail address:_________________________

Please List Individual Members Names         Home Address             Phone                    Email address

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