Florida Internal Affairs
Investigators Association
Application for Membership
DEPARTMENT NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE with AREA CODE:
FAX NUMBER:
EMAIL:
EXT. if applicable
Please Mail
a Check Payable to:
Florida Internal Affairs Investigators Association
P.O. Box 880283
Port St. Lucie, FL 34988-0283
Annual membership dues are $30.00 per investigaor (or per person).
Please list the name and rank of each department member requesting membership.
Members will be included on the FIAIA Association Roster.
TYPE OF MEMBERSHIP:
(please choose one from each column)
RANK AND NAME:
RANK AND NAME:
RANK AND NAME:
RANK AND NAME:
NEW MEMBER
RENEWAL
Active
Associate
P.O. Box 880283 Port St. Lucie, FL 34988-0283
P.O. Box 880283 Port St. Lucie, FL 34988-0283
