Member Dues Renewal Membership Dues All IAPSC members are required to affirm compliance with the membership requirements and qualifications by submitting the following form and again each year at the time of membership renewal. Membership Type - select Membership Type - Active - $ 445.00 Associate - $ 445.00 Internal Consultant - $ 445.00 Retired - $ 50.00 Meritorious - $ 0.00 Total Amount Member Dues / Affirmation First Name * Last Name * Email * Do you have any arrangement or agreement, written or otherwise, wherein you do or might receive any compensation or other valuable consideration for referrals (other than referrals made to consulting clients who have engaged you)? * Yes No Do you own or are you employed by or receive compensation from any company which sells security products, goods, merchandise, equipment, etc.? * Yes No Do you own or work for any company which provides any alarm monitoring or central station services? * Yes No Do you own or work for any company which provides security manpower services including those which provide contract or non-contract guards, strike task-forces, body guards, security supervisors, etc.? * Yes No Do you perform “turn key” work involving security products or equipment where you buy security products for re- sale or installation? * Yes No Do you, or does your firm act as a “middle man,” distributor, or manufacturer’s representative for any security product or service? * Yes No Do you conduct investigations of any sort (other than the “investigation” required to diagnose a consulting client’s problems, or as an expert in litigation cases) or use the word(s) “investigator,” “detective,” or “investigation” in/on your stationery? * Yes No Do you or your firm engage in detection of deception, truth verification, etc. through the use of polygraph, psychological “pen and paper” exams, voice stress or handwriting analysis, or other means? * Yes No (also, please state if you are required by law to be licensed as a private investigator in order to perform security consulting services) If you answered YES to any questions above, please explain By selecting “I Accept”, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. Release of IAPSC * I Accept By clicking "I Accept" below, I hereby certify that all information on this application and any attached supporting materials is/are true and correct. I further affirm that I am an independent, non-product affiliated security consultant (or an internal consultant) and am not currently engaged in any activity contrary to the rules, Code of Ethics and Bylaws of the International Association of Professional Security Consultants (IAPSC) nor, if accepted, will I do so during the time I am a member of the IAPSC. Application Truthfulness Certification * I Accept Credit Card Card Type - select - Visa MasterCard Amex Discover Card Number * Security Code * Expiration Date * -month- 01 02 03 04 05 06 07 08 09 10 11 12 -year- 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Republic of the Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe State/Province * Choose country first Postal Code * Review your payment
