Corporate Captain Registration and Renewal | North Carolina Association of Chiefs of Police

Register by Mail

Download the PDF Program Application form, linked below, and complete.

Program Application:

Not a Corporate Captain? Review the Sponsorship Opportunities linked below.

If you are paying by check, please submit both completed form and your check to:

NCACP
PO Box 18729
Raleigh, NC 27619

If you choose to pay by credit card please use the payment form below. Then email your completed renewal form to [email protected].

Please make your payment on the same day as your form is submitted to assure proper posting. Thank you

I want to become an NCACP Corporate Captain!

Company Name

Your Email

Level of Sponsorship

Date

Company Address

Address

City/Town

State/Province

ZIP/Postal Code

I would like for my two Associate memberships to be in the following individuals’ names:

Associate #1

First Name

Last Name

Mobile Number

Business Number

Email

Associate #2

First Name

Last Name

Mobile Number

Business Number

Email

Please indicate exactly how you prefer your company name be used on signage and listings:

Please indicate the complete website address for NCACP to link from your logo on our site:

Please upload a copy of your company logo

One file only.
100 MB limit.
Allowed types: jpg, jpeg, png.

If planning to be a Conference Vendor, please fill out the Conference Vendor Registration Form.

Please make your payment online or mail a check made payable to:

North Carolina Association of Chiefs of Police, Attn: Executive Director, PO Box 18729, Raleigh, NC 27619.