INDIVIDUAL

THIS IS THE APPLICATION/RENEWAL FORM FOR INDIVIDUAL MEMBERSHIPS. FOR CORPORATE APPLICATIONS/RENEWALS, CLICK HERE.

PERIOD OF RENEWAL
April 1, 2013 to March 31, 2014

FEE - Regular Member $25.00
FEE - Associate Member $50.00

AAPI REGISTRATION #

AGENCY NAME (required)

AGENCY CONTACT (required)

CONTACT TELEPHONE (required)

PERMANENT MAILING ADDRESS (required)

CITY (required)

PROVINCE (required)

POSTAL CODE (required)

PA LICENCE (required)

PROVINCE OF ISSUE (required)

DATE OF EXPIRY (required)

EMAIL ADDRESS (required)

WEBSITE URL

BUSINESS PHONE (required)

FAX NUMBER

PRIMARY CONTACT INFORMATION

SURNAME (required)

FIRST NAME (required)

MIDDLE INITIAL(S)

USUAL NAME (required)

ADDRESS (required)

CITY (required)

PROVINCE (required)

POSTAL CODE (required)

NOTE: The primary contact will automatically be included in the AAPI email group.

PRIVACY OFFICER

SURNAME (required)

FIRST NAME (required)

MIDDLE INITIAL(S)

USUAL NAME (required)

ADDRESS (required)

CITY (required)

PROVINCE (required)

POSTAL CODE (required)

SERVICES YOUR AGENCY OFFERS - Please check all that apply. (required)
Litigation Support - Civil & CriminalSurveillanceInsurance InvestigationsBackground InvestigationsLocatesFraud & Financial InvestigationsSecurity ConsultingExecutive ProtectionThreat Risk Assessment (TRA)TSCM - DebuggingDrug & Alcohol TestingPolygraphComputer Forensics & Data RecoveryUniformed SecurityLoss PreventionPre-Employment ScreeningDomestic Investigations

LOCATIONS YOUR AGENCY IS ABLE TO SERVICE - Please check all that apply. (required)
Calgary & AreaEdmonton & AreaRed Deer & AreaFort McMurray & AreaMedicine Hat & AreaLethbridge & AreaGrande Prairie & Area

British ColumbiaOntarioSaskatchewanQuebecManitobaMaritimesInternational

WEBSITE INFORMATION

Do you wish to have the above agency listed on the website?
YESNO

DATE (required)

INFORMATION ACKNOWLEDGEMENT

By checking YES below, I acknowledge that I have read and understood all of the above instructions, and I authorize AAPI to utilize my information for the purpose of updating/processing my registration/renewal. I further acknowledge that all information provided above is true and accurate. (You must agree to these terms in order to proceed.)
YES I AGREE

ANY ADDITIONAL NOTES

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