Support Our Oregon Sheriffs

Your Participation supports:
The Deputy Sheriffs' Academy
Search and Rescue Training
Civil Process Training
Development of Crime Reduction Programs
Scholarships to Law Enforcement and Correctional Students
Crime and Prevention Training Programs

The Oregon State Sheriffs' Association is a qualified non-profit organization under 501(c)(3) of the Internal Revenue Service Code.

Oregon State Sheriffs' Association
Membership Application

Honorary Members Receive: Special OSSA decal, Membership Card, and a one-year subscription to the Oregon Sheriff Magazine, published quarterly.

Please accept my application for OSSA Membership
In addition to my dues, I am Enclosing $___________ to assist OSSA programs

PLEASE CHECK TYPE OF MEMBERSHIP

HONORARY MEMBERSHIP

Individual Member: annual dues $30.00
Business Member: annual dues $50.00
Official Sponsor: annual dues $100.00 (please include name of city and county for listing in Oregon Sheriff magazine)

PROFESSIONAL MEMBERSHIP
(please include Sheriff's Office or County Agency)

Associated Member: annual dues $30.00
Retired Associate: annual dues $25.00
Deputy Associate: annual dues $25.00
Retired Deputy: annual dues $25.00
Sheriff's Volunteer: annual dues $25.00

Affiliated with:_________________________________

Information for Membership and/or
mailing instructions for OSSA Products
(please complete reverse side for OSSA products and book orders)

NAME:__________________________________________________________

ADDRESS:_______________________________________________________

CITY/STATE/ZIP:__________________________________________________

TELEPHONE:_____________________________________________________
(in case we need to call you for clarification)

Membership Dues and Donations qualify for tax
deductions. Please make separate payments for
OSSA products and book orders.

Please make your checks or money orders payable to OSSA, or use your mastercard or VISA and complete the information below.

Please charge my Mastercard VISA

Card Number:_____________________________________________

Exp. Date__________ Amount Charged: $__________

Cardholder's Name:_________________________________________________

Signature of Cardholder (X)_________________________________________

Call OSSA toll free at 1-800-624-4405 or mail to:
OSSA, PO Box 7468, Salem, Oregon 97303