Application for Membership – Southeastern Massachusetts Police Chiefs Association

New Members – please complete the application for membership below. Once your application is received, it will be reviewed for approval.
Upon approval, the new chief will be billed.

Active Members: $400.00 | Associate Members: $35.00

"*" indicates required fields

Name*

First Last

Email*

Cell #*

Home #

Business Address*

Street Address Address Line 2 City State ZIP Code

Home Address

Street Address Address Line 2 City State ZIP Code

Occupation*

Department or Company*

All Chiefs: Please write a brief work history with ranks and dates below or attach a resume.

Resume

Max. file size: 128 MB.

Name of Sponsoring Chief*

Sponsoring Chief Department*

Sponsoring Chief Email*