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Associate Member Registration

All dues must paid annually.
To download the PDF form to fill out and mail, visit the printable version of this form.
Select Member Type*
- New
- Renewal
Name*
First Last
Region*
- Alamo
- Central
- El Paso
- Gulf Coast
- North Texas
- Rio Grande Valley
Company Name*
Company Address:*
Street Address Address Line 2 City State ZIP Code
Company TPSB License #*
Company Website
Office Phone*
Office Fax
Mobile Phone*
Email Address*
Do you wish to have your certificates emailed?*
- Yes
- No
Regular Associate Member*
Price: $25.00
Associate Member Late Fee*
- I understand that ASSIST dues are due annually and that a $25 late fee will apply to all renewing memberships submitted after 60 days of the due date.

ASSIST Membership Benefits

"Being an ASSIST member has many great benefits. I encourage everyone to join today."

~ Member

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Call 832-274-1079.

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COTSO

COTSO - Charitable Organization for Texas Security Officers

ASSIST

3300 Bee Caves Road
Suite 650-119
Austin, Texas 78746
1-832-274-1079
www.assisttexas.org

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Call Us: 1-832-274-1079