Please print form and mail with payment to below address:



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
Loyola University
4501 North Charles St
Baltimore, Maryland 21210-2699