Membership Application

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CCUG. California CLETS Users Group [Tax ID # 20-4416174]. 2014 Agency Membership Invoice. P.O. BOX 1646. Arroyo Grande, CA 93421. DATE. CITY, ZIP .

California CLETS Users Group [Tax ID # 20-4416174] 2017 Agency Membership Invoice NOTE: For faster and more secure processing, your membership and payment should be submitted online at: www.ccug.org/agency_app.html

DATE AGENCY

ORI

PRIMARY CONTACT

E-MAIL

MAILING ADDRESS

PHONE

CITY, ZIP

ACC NAME

PRIMARY JOB FUNCTION:

Records

CCUG P.O. BOX 294 Lake Elsinore, CA 92531

COUNTY

Dispatch

Training

IT

Investigations

Patrol

Agency Membership dues are $75.00 and entitle all agency personnel to member benefits. The primary contact for each agency will receive all CCUG correspondence. If additional persons from your agency would like to receive correspondence please list them in the fields below: E-MAIL

NAME PRIMARY JOB FUNCTION:

Records

Dispatch

NAME PRIMARY JOB FUNCTION:

Records

Dispatch

Investigations

Patrol

Training

IT

Investigations

Patrol

IT

Investigations

Patrol

IT

Investigations

Patrol

E-MAIL Records

Dispatch

NAME PRIMARY JOB FUNCTION:

IT

E-MAIL

NAME PRIMARY JOB FUNCTION:

Training

Training E-MAIL

Records

Dispatch

Training

Your check payable to "CCUG" should be mailed to: CCUG P.O. Box 294 Lake Elsinore, CA 92531 DUES MUST BE PAID BY JUNE 30, 2017 TO RECEIVE MEMBER PRICE FOR THE CCUG SEMINAR MEMBERSHIP BENEFITS: + A forum for the exchange of information between CLETS users, CLETS staff (DOJ & DMV), and vendors who provide related systems and services. + Receive training and familiarization with the multitude of files available through CLETS, their contents, and proper access and dissemination. + Keep abreast of coming changes in CLETS accessed files and their effect on local system's operations. + Stay informed of related vendors' products, services, and technologies. + Receive special member registration price for the CCUG Training & Technology Seminar ($100.00 savings for each person from your agency attending).

Name on Card

Phone

Exp Date

The security code is required to complete your transaction. You may also go to www.ccug.org/pay_memb.html to pay online.

Credit Card #/Security Code Billing Address Signature

Reset Form

E-mail If paying by credit card, please fax this form to (714) 415-5509

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