2020 APPLICATION!
ILLINOIS PROTECTIVE OFFICIALS CONFERENCE 2020 CALENDER YEAR MEMBERSHIP APPLICATION
ICC CHAPTER
FOUNDED MAY, 1961
Application is hereby made for membership in the Illinois Protective Officials Conference. Please enclose the annual membership fee of $50.00 (per organization) made payable to the Illinois Protective Officials Conference. This application should be returned as soon as possible as it will allow the IPOC Board to assemble a comprehensive directory early each calendar year.
Type of Membership: 
Name of Organization_________________________________________________
Business Address_____________________________________________________
City-State-Zip________________________________________________________
Phone/Fax/Cell_______________________________________________________
E-Mail Address(es)____________________________________________________
For any type of membership, please provide those individuals to be included under this application. It is also important to list each person’s position or title for the directory. Please note which e-mail should be on our primary e-mail list. *If you know any organization that would like to also become a member, please reach out to the board so we can assist.*
Individual Title & e-mail
Attach additional sheets if necessary.
Membership checks shall be mailed to:
IPOC/TREASURER Gayle Price
115 E Washington St
PO Box 3157 Bloomington, IL 61702-3157