Directions:
Please Print out the application, fill out completely, and mail
together with your check for $25 to:
New York State Shields, Inc.
P.O. BOX 703
HARTSDALE, NY 10530
Name (first, last): D O B:
Street Address:
City:
State:
Zip:
Work Phone:
Home Phone:
Email:
Agency/Employer/Command/Other:
Rank/Title:
Please Check: New Member
Renewal
Active
Retired
Associate Membership
Membership is open to all
members of the Law Enforcement Community (City/State/Federal), and Associate members who are non Law Enforcement Officers. Associate members are from public and private industries and have shown a strong support of American Law Enforcement.
