Anti-Vehicle Crime Association of Wisconsin, Inc.
P. O. Box 1522, Brookfield, WI 53008-1522
MEMBERSHIP APPLICATION
Individual Membership fees are $15.00 per year
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Last Name First Name Middle Initial
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Occupation Title
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Agency Name
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Mailing Address (you wish AVCAW to send mail to. STREET/CITY/STATE/ZIP
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(Area Code) Business Phone & Extension FAX (Area Code) FAX Number
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Print your email address as it should appear Newsletter via email? Yes or No (Circle one)
ADDRESS TO BE USED FOR THE AVCAW MEMBERSHIP DIRECTORY
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Street City State ZIP
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Recommending members name Agency
Send completed application along with a $15.00 check per membership, payable to A.V.C.A.W. to: A.V.C.A.W. Membership PO Box 1522 Brookfield, WI 53008-1522 For more information, please contact one of the following A.V.C.A.W. members: Detective Don Sebetic, Kenosha County Sheriff's Department at (262) 605 5102 Loss Prevention Specialist Bob Suehring, Sentry Insurance at (800) 532-2525 Ext. 6490