California Narcotic Officers' AssociationApplication for Membership & Renewal 2022
If you would prefer to mail in your membership application please use this printable form.
Select Membership Type (required)`New Member Renewing Associate (not sworn) Support
2022 ($100 total)
Membership paid by? Agency Self
APPLICANT INFORMATION* requiredFirst Name:* Middle Initial: Last Name:* Date of Birth * Gender:* Male FemalePOST ID#:* Credits you qualify for (check all that apply): POST STC MCLE
AGENCY INFORMATIONAgency/Organization Name:* Assignment: Position/Title/Rank:* Agency Address:* Agency City:*
RESIDENCE INFORMATIONHome Address:*City:*
Home Phone: (include area code) Cell Phone: (include area code) May we send mail to your home? Yes No
VERIFICATION INFORMATION(Can be a current CNOA Memberor a department reference)
Contact Name:*Contact Agency:*Contact Phone:*
ADDITIONAL DONATIONSSurvivor's Memorial Fund $
Narcotic Educational Foundationof America $
Total Payment $ *
All information is strictly confidential.
Please click "Submit Registration" only once - Do Not Refresh the Page