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Academy of
Behavioral Profiling

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Membership Application Form (please do not type in all CAPS or in all lowercase)
Subscription Rates Application Fee Annual Dues
Student Member $25 US $15 US
Affiliate Member $25 US $30 US

First Name
Middle Initial
Last Name
Address Line 1
Address Line 2
Zip/Postal code
Work Phone
Home Phone
Date of Birth [mm/dd/yy]
Sex Female Male
Type of Membership Student Member
Affiliate Member, General
Affiliate Member, Investigative Section
Affiliate Member, Forensic Section
Affiliate Member, Behavioral Section
Payment type
Social Security Number, if applicable
How did you learn about the ABP?

The submission of this form digitally will only signal the intent of the applicant to apply for membership. A complete Application for Membership is acceptable only when completed, signed, and accompanied by the appropriate application fee and supporting documentation. Before submitting this form, * PRINT * this page,* SIGN* it, and * MAIL * it to the address provided below along with your payment and any supporting documentation. Your application will not be processed without complete documentation according to the appropriate membership guidelines.

Please send applications to:

Attn: Membership
Academy of Behavioral Profiling
P.O. Box 2175
Sitka, Alaska 99835

My signature below authorizes the Academy of Behavioral Profiling or any of its officers or agents to verify the accuracy of any of the information provided in or as part of this application.

Should this application beacted upon favorably, I agree to adhere to the Ethical Guidelines of the Academy of Behavioral Profiling.

Signature __________________________________________________

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Last update: 3/12/01.