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1405 Westover Hills Blvd., Suite 6, Richmond, Va. 23225
(804) 231-3800 FAX (804) 231-3900
email: vaprevent@aol.com
Executive Director: Patrick D. Harris

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VCPA Membership Application / Dues Payment

Please fill out, print and mail this application form, along with your payment to:

Virginia Crime Prevention Association
1405 Westover Hills Blvd., Suite 6
Richmond, Va. 23225

Complete Application Information Below.    

Name:
Title:
Agency / Organization:
Address:
Phone:
Fax:
Email
Payment Amount: Individual Membership - $35.00  
Individual Lifetime Membership - $250.00
Organizational Membership - $100.00  
Corporate Membership - $250.00  

New Member        

Renewal                 

            

 

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