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Membership Form

Victims of Crime
Service Providers such as victim advocates, domestic violence and sexual assault crisis counselors and child advocates
Businesses and corporations concerned about the aftermath of crime or their employees
Law Enforcement (local, state and federal)
Criminal Justice Managers
Court Administration
Self-Help Organizations such as Mothers Against Drunk Drivers (MADD), and Parents of Murdered Children (POMC)
School Board Administration
Individuals concerned about victim rights
Funeral Home Directors
Psychologists and Mental Health Counselors

Membership Form

Violent crime affects victims, their families, and loved ones physically, financially, and emotionally. Membership enables one to join with others to assist victims of violent crime

Student Volunteer $10.00

Professional $20.00

Agency/Business $50.00 (up to 3 members)

Name*

Agency/Organization*

Address*

City*

State*

Zip Code*

Work Phone/Other Phone*

Fax Number

Email Address*

Violent crime affects victims, their families, and loved ones physically, financially, and emotionally. Membership enables one to join with others to assist victims of violent crime