Application

 
 

International Association of Special Investigation Units

Oregon Chapter

FREE 2010 Membership - Through the month of January 2010, the Oregon Chapter is offering free memberships to anyone who qualifies as a regular or associate member.  Click here for "Regular" and "Associate" membership requirements.

Select One

  FREE NEW Regular Membership - Pursuant to the Oregon Chapter’s by-laws, "Regular" membership shall include insurance company employees primarily engaged in the investigation and/or supervision of insurance fraud investigations or Special Agent or supervisory Special Agent of the National Insurance Crime Bureau and who are members in good standing with the International Association of Special Investigation Units.

  FREE NEW Associate Membership -  See Associate Membership requirements

THE OREGON CHAPTER OF THE INTERNATIONAL ASSOCIATION OF SPECIAL INVESTIGATION UNITS WILL MAKE ALL FINAL DECISIONS ON CHAPTER MEMBERSHIP.

Name:

   

Employer:

Title:

Position Description:

Address:

Phone:

Fax:

E-Mail:

International ID # (Not Required for Law Enforcement)

Renewal:

New Application: 

Date:

 

I hereby make application for membership in the Oregon Chapter of the International Association of Special Investigation Units in accordance with its by-laws and agree to be bound therewith. All of the information contained in this application is warranted by me to be true. I understand this application is subject to acceptance by the Oregon Chapter and further that if my employment duties change so as to fall outside the requirements for membership, my membership in the organization shall terminate. I further understand and agree that the Oregon Chapter may terminate my membership at any time, without refund of dues by a majority vote of the Officers and Board of Directors and I hold the Oregon Chapter, Officers and Board of Directors harmless of any civil liability for such termination.

 

International Association of Special Investigation Units