IHIA Membership Application
International Homicide Investigators Association
P.O. Box 5507
Tampa, FL 33675

I am applying for the following class of membership. Membership fees are $50.00 USD annually.

‘ Active

‘ Associate

‘ Renewal

Credit Card payments may be made by contacting IHIA Treasurer John King at jkking@hcso.tampa.fl.us

Checks are to be made payable to the IHIA at the address above.

Name:________________________________________________
(Please print) First Middle Last

Title: _________________

Agency:____________________________________________

Business Address:________________________________________

Business Telephone:__________________ Fax:________________

E-Mail: _________________________________________________

Residence Address: _______________________________________________________
_______________________________________________________
_______________________________________________________

Residence Telephone: __________________________

Send Mail to: (circle one) Business address Residence Address E-Mail

Please furnish the following biographical information:
Date of Birth:________ Length of time in Law Enforcement________ Time in present position_______

Law Enforcement Experience ( with approximate dates):
______________________________________________________ ______________________________________________________ ______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________

Have you previously been a member of IHIA ? ______________
Sponsor (Current IHIA Member): ________________________________________________________
Signature of Applicant : __________________________________________________________
Your application should be accompanied by a check or money order for the amount of $50.00 US dollars.
Credit cards are accepted by contacting jkking@hcso.tampa.fl.us

A letter from your agency on letterhead, verifying your employment and capacity, and signed by the head of agency or by the head of personnel must accompany new applications.