USSS-SOA Membership Application Membership Class and Eligibility * = Required Membership Class and Annual Dues * Refer to "Membership Class and Eligibility" above for more information. Regular Member Dues: $43 (July 1 - Dec 31, 2023) Regular Member: $85 (Starting January 1, 2024) Associate Member: $85 Life Member (80 yoa): $0 Affiliate Member: $0 Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Special Operations Team or Division * CS ERT CAT Training Dates within Division * Operator No. (if applicable) Dates of total USSS employment * Reference, phone number & email address of someone you worked with on CS, ERT or CAT for verification * The BOD might not know you. Military Service? * Yes No If yes, which branch? Would you be willing to volunteer to be on a committee? * Yes No If yes, what is your area of interest? (Select One) Finance Membership IT Special Events Other Do you have a motorcycle and would you be interested in SOA group rides? * Yes No Any non-traffic related criminal convictions? * Yes No If yes, please describe date, location and circumstance. Comments Please confirm: * I certify that all the information above is true and accurate. Membership is open to those of good character with at least one year of honorable service or affiliation with CS, ERT or CAT. I authorize USSS-SOA to verify the above information while checking my background. (Please see the Membership Guidelines to determine your eligibility for the SOA.) Applicant Signature * Please type your full name. Today's Date * MM DD YYYY Please make PayPal payment to rmcbride@usss-soa.com; or make checks payable to USSS-SOA and remit to Ray McBride, P.O. Box 236, Oak Island, NC 28465 The USSS-SOA is applying for recognition as a nonprofit corporation under Internal Revenue Service Code Section 501(c)(4). And as such, none of your dues will be tax deductible as a charitable donation. Payment Method (Please submit dues when applying) * Paypal Check Thank you! We will review your application and be in touch soon!
