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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

GPrice@CITYBLM.ORG

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