Renewal with No Changes If you have changes, please use this form:  Join Now LinkedInThis field is for validation purposes and should be left unchanged. Applicant's Name Applicant’s Name First Middle Last Do not add Do not add my information to the website Membership List (www.gappi.org) Member Information Agency NamePhone*Email* Membership Level & Annual Fee Please Select only oneActive QuantityLimited to Private Detectives and Security Officers Licensed or Registered in the State of Georgia who are in good standing with the Georgia State Licensing Board. Price: $110.00 Quantity Associate QuantityAvailable to any person who is in the field of investigations or security but NOT licensed in the State of Georgia. Price: $110.00 Quantity Retired QuantityLimited to individuals who are retired from the private detective or security field, GAPPI member for 5 years, and licensed in GA for 5 years. Price: $110.00 Quantity Corporate QuantityProvides memberships for up to 3 (active or associate) employees of the same company. Additional corporate members beyond the first 3 are $75 each. Price: $220.00 Quantity Over 3 Employees Select if you are adding more then 3 employees Product Name Quantity Price: $75.00 Quantity Student QuantityAvailable for individuals who are enrolled in a private detective, security, or criminal justice training program. After one year, student must renew as an Active or Associate Member. Price: $55.00 Quantity Payment Options Full Name*Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Total $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name Statement of Intent I hereby apply for membership in GAPPI and agree to abide by the GAPPI Constitution, Bylaws and Code of Ethics. If applying as an active member, I hereby attest that I am licensed and in good standing with all applicable state licensing agencies. I attest that the information provided on this application is true and correct and understand that submitting false information will result in the revocation of my membership and loss of any fees. I understand, unless otherwise indicated, the information on this application will be available for publication and I agree to fully and completely hold harmless all parties in the release and use of such information.Full NameDate MM slash DD slash YYYY CAPTCHA
