Please print form and mail with payment to below address:
2017 DUES INVOICE
Local Association Dues (Please Check One)
Active Member Dues: $100.00 ______
Entitles the member institution with a contribution of $100.00 by ACLEA toward the cost of hosting the monthly meeting and provides the institution with minutes from the monthly meetings.
Associate Member Dues: $50.00 ______
Entitles the member institution with a mailed copy of the minutes from the monthly meeting.
Member Name _________________________________________________________
City, State, Zip __________________________________________________________
Office Phone & E-mail ____________________________________________________
Please make checks payable to ACLEA and remit payment by April 1, 2017 to:
C/O Timothy Fox
Director - Public Safety
4501 North Charles St
Baltimore, Maryland 21210-2699