Team Membership Form

Please fill out the form below. Be sure to enter all of you active Team Member emails prior to submission. If you have more than 20 members, you will have to complete a second Team Membership Form.

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Team Leader's Name Team Leader's Name First Last
Rank/Title
Phone Number Phone Number - ### - ### ####
Personal Email
Agency
Agency Email
Agency Phone Agency Phone - ### - ### ####
The above listed information is true and accurate. Further, I authorize the North Carolina Tactical Officers Association to contact my agency to verify the above information.

The above listed information is true and accurate. Further, I authorize the North Carolina Tactical Officers Association to contact my agency to verify the above information. I agree
How many members are on your team?

How many members are on your team? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Team Member Information 1 Team Member Information 1
Team Member Name Team Member Agency Email
Team Member Information 2 Team Member Information 2
Team Member Name Team Member Agency Email
Team Member Information 3 Team Member Information 3
Team Member Name Team Member Agency Email
Team Member Information 4 Team Member Information 4
Team Member Name Team Member Agency Email
Team Member Information 5 Team Member Information 5
Team Member Name Team Member Agency Email
Team Member Information 6 Team Member Information 6
Team Member Name Team Member Agency Email
Team Member Information 7 Team Member Information 7
Team Member Name Team Member Agency Email
Team Member Information 8 Team Member Information 8
Team Member Name Team Member Agency Email
Team Member Information 9 Team Member Information 9
Team Member Name Team Member Agency Email
Team Member Information 10 Team Member Information 10
Team Member Name Team Member Agency Email
Team Member Information 11 Team Member Information 11
Team Member Name Team Member Agency Email
Team Member Information 12 Team Member Information 12
Team Member Name Team Member Agency Email
Team Member Information 13 Team Member Information 13
Team Member Name Team Member Agency Email
Team Member Information 14 Team Member Information 14
Team Member Name Team Member Agency Email
Team Member Information 15 Team Member Information 15
Team Member Name Team Member Agency Email
Team Member Information 16 Team Member Information 16
Team Member Name Team Member Agency Email
Team Member Information 17 Team Member Information 17
Team Member Name Team Member Agency Email
Team Member Information 18 Team Member Information 18
Team Member Name Team Member Agency Email
Team Member Information 19 Team Member Information 19
Team Member Name Team Member Agency Email
Team Member Information 20 Team Member Information 20
Team Member Name Team Member Agency Email
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Team Member Agency Email 5
Team Member Agency Email 6
Team Member Agency Email 7
Team Member Agency Email 8
Team Member Agency Email 20
Team Member Agency Email 18
Team Member Agency Email 19
Team Member Agency Email 21
Team Member Agency Email 22
Team Member Agency Email 23
Team Member Agency Email 24
Team Member Agency Email 25
Spam Protection. Please answer this simple question:
If the car is red, what color is it?

Team Membership Form

Team Membership Form

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