INTERNATIONAL ASSOCIATION OF
NATURAL RESOURCES CRIMESTOPPERS
2070 US Highway 278, SE
Social Circle, GA 30025
Established April 27, 1998
APPLICATION FOR: NEW MEMBERSHIP ______ 2008 RENEWAL ______
Name of Agency/Organization (Please print or type)
________________________________________________________________________
Address
____________________________________________________________________________________________________________________
Public Phone # _____________________________ Office Phone # _____________________________
Web site address (if applicable)
____________________________________________________________________________________________________________________
Contact Person and email address
____________________________________________________________________________________________________________________
Address/phone # if different than above
____________________________________________________________________________________________________________________
Please send the completed application and IANRC dues payment to:
Candice Henderson
Executive Secretary, IANRC
2070 US Highway 278, SE
Social Circle, GA 30025