FLORIDA SHERIFFS ASSOCIATION
MEMBERSHIP APPLICATION
MEMBERSHIP DUES (Membership Year: January 1 - December 31) Please select one membership per form.
MEMBERSHIP INFORMATION
FIRST AND LAST NAME
MAILING ADDRESS
CITY STATE ZIP CODE
EMAIL PHONE
REQUIRED DETAILS FOR BUSINESS AND LAW ENFORCEMENT MEMBERS
BUSINESS NAME CONTACT NAME
LE STAFF TITLE/POSITION STATUS:
o ACTIVE OR o RETIRED
o NEW MEMBERSHIP
o RENEW MEMBERSHIP
Member Number from Magazine Label: Last Paid Thru Date:
o HONORARY
o $25 Honorary
o $50 Honorary Silver
o $100 Honorary Gold
o $25 Law Enforcement
Active or Retired
Law Enforcement Only
o LAW ENFORCEMENT
o $100 Business Bronze
o $250 Business Silver
o $500 Business Gold
o $1,000 Business Platinum
o BUSINESS
JOIN OR RENEW ONLINE
Join, renew or purchase member-only
items at flsheris.org/membership.
License Plates for Use on Front of Vehicles
OR MAIL THE COMPLETED FORM AND
UNITED STATES CHECK OR MONEY
ORDER PAYABLE TO:
Florida Sheris Association
2617 Mahan Drive
Tallahassee, FL 32308-5448
CONTACT US
(850) 877-2165
membership@flsheris.org
THANK YOU FOR MAKING A
DIFFERENCE THROUGH YOUR
GENEROUS DONATION.
Rev. 6/26
A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING
TOLL-FREE (800-435-7352) WITHIN THE STATE OR VISITING WWW.FDACS.GOV. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR
RECOMMENDATION BY THE STATE. REGISTRATION NUMBER: CH915. The Florida Sheri•s Association is a 501(c)(3) charitable organization. Contributions
are tax-deductible to the extent permitted by law.
Law Enforcement
Member Lapel Pin and Decal
Business Member
Decal
License Plate Frame
Honorary Member
Lapel Pin and Decal
T H E R A N C H E R
FA L L 2 0 2 6
2 5
