International Association of Law Enforcement Firearms Instructors, Inc.®
25 Country Club Rd S-707, Gilford NH 03249,  603.524.8787  fax 603.524.8856
Membership Application  (not certification)
Active Membership $55.00 -- Associate Membership $55.00 --  Business Membership $550.00

Name: M.I. 
E-mail Address : Date of Birth (m/d/y)
Preferred Mailing Address (please check one):Work Home
Agency:
Work Address:
City: Prov/State:    Postal Code: 
Country:
Work Phone: Home Phone:
Work Fax: Cell Phone:
Home Address:
City: Prov/State:   Postal Code:   Country:
Background: - Must be completed entirely
Date designated a F I by your Agency:  Are you presently active as your Agencies FI?

Describe the FI Training you have attended, and your background as a Firearms Instructor.

Copies of your certification/diplomas MUST accompany this application
Endorsement of Applicant's or direct firearms training instructor:  I know the applicant to be professionally engaged in Firearms Instruction (Active Membership), or know him/her to be a law abiding citizen who has knowledge that would benefit Firearms Instruction (Associate Membership) and recommend him/her for membership.
Signed/dated:  
Print Name:   Title:    Phone: 
I hereby apply for membership in I.A.L.E.F.I. and, if accepted, agree to abide by the bylaws and regulations published by this Association.
Signed/dated:
If you are being sponsored by a present I.A.L.E.F.I. member please print member's name:
Incomplete applications will be returned
Include check (U.S. Funds - payable to IALEFI) or Charge to:   Master Card_____  Visa_____   American Express_____
 Account #   Exp. Date     3-Digit Security Code:  
Signature if using credit card:__________________________________________________________________________