Texas Jail Association

Membership Application

Please note: Fields with an asterisk (*) are required.

Already a member? Just need to renew? Pay Dues Here.

Member Information First Name* Last Name* Title* Agency/Organization* Agency Address* City* State*

Zip Code* Agency Phone* Fax Member Email Address* (required for correspondence, voting, and discount codes) PID (required for TCOLE credit from conferences and other training)

Membership Type Professional Member (voting member: $30) Associate Member (non-voting member: $30) Lifetime Member (voting member: $300) Business Member (non-voting member: $100)

Payment Method Check Purchase Order Credit Card Name on Credit Card (DO NOT enter card number)

Reference Referred by (Member Name, Publication, Brochure, etc)