TIPS MEMBERSHIP FORM

This form is intended for authorized potential member entities only.
The submitting party understands that any statements and information submitted to TIPS, a government entity, is subject to additional scrutiny/verification and falsifying information is subject to civil and criminal penalties.

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AGENCY INFORMATION

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IS YOUR AGENCY INTERESTED IN ANY PARTICULAR CATEGORY?

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AGENCY ADDRESS

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SECONDARY CONTACT

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ADDITIONAL CONTACT NAME

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IF REQUESTED CHANGE OF VENUE

How Did you Hear About TIPS?


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