Private Investgators
BECOME A NASCPI AFFILIATE

Application Type
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Your Name
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Title
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Business Name
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Business Address
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City
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State
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Zip Code
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Physical Address
Same as above
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Business Address
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City
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State
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Zip Code
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Business Phone
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Direct Business Phone
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Fax
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Email
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Username (*)
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5-20 characters

I have read and understand the NASCPI By-Laws
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I agree not to share or disclose any information provided by the NASCPI web-site restricted (non-public requiring affiliation with the NASCPI) areas (*)
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I agree not to share my user name or assigned password with anyone including employees, co-workers or associates
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Note: Your password and NASCPI affiliate number will be assigned upon receipt of your application and forwarded to the e-mail address provided on this application.

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NASCPI • PO Box 26221 • Charlotte, NC 28221

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