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Have you ever been convicted
of a crime?
Yes No
If yes, explain offense and
date/location of conviction
_______________________________________________________________________________
_______________________________________________________________________________
Note: a yes answer may affect
your acceptance as a member of the International Association of Arson
Investigators.
Member Recommendation
You must be recommended by an
IAAI member in good standing.
Member’s name
(print) ___________________________ IAAI ID #:
_______________
Date: ________________
Sign and Date Application
Applicants Signature
________________________________________
Date:
________________________
Mail correspondence to
(circle one)
:
Home
Business
International Association of
Arson Investigators, Inc.
Application for Membership
(Page 2 of 2)
Mail to:
Indiana Chapter #14 -
IAAI
Post Office Box
80132
Indianapolis, Indiana
46280
FOR OFFICIAL USE ONLY
Card No. _________________
Card Mailed ______________
Record No. _______________
Revision 5/06
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