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Membership Application
 
Membership runs from January 1st to December 31st.
Due by January 1st of every year.
Basic Membership Dues are $50 per Program
Platinum Membership Dues are $150 per Program. 
(Platinum membership includes insurance coverage)
 
Mail checks to:
VIRGINIA CRIME STOPPERS ASSOCIATION, INC.
406 Robin Drive
Lynchburg, VA 24502 
 
  Program Name *
  Jurisdiction(s) Covered
  Address
  City
  State/Province
  ZIP/Postal Code
  Chairperson
  Phone
  Fax
  E-mail Address
  Coordinator(s) Name
  Phone
  Fax
  E-mail address
  TIPLINE
  WEBSITE