Join ISA

This form is for individuals wanting to sign up for a new membership with the Illinois Sheriffs' Association, or to renew an existing membership. It allows for additional donations to your transaction, as well as the purchase of either vehicle or motorcycle ISA License Plate Frames.
Are you a New Member or You Want to Renew Membership?*
- Yes I Want to Join!
- I Just Need to Renew!
Please check one.
Membership ID
Membership ID

MEMBERSHIP ID | if possible, type your Member Number in the space above. See Example of where to find your member number on the remit slip image below.
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Membership ID
Type your Member Number in the space above. See Example below of where to find your member number on the remit slip.

Is this New Membership or Renewal IN THE NAME OF A BUSINESS?
- Yes
- No
Please check one.
Name of Business & How it Should Appear on Plaque
Enter NAME OF BUSINESS above; and for NEW Business Members, be sure to enter it just how you would like it on the plaque.
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Business Name for Plaque
For NEW Business Members, (click) BUSINESS NAME FOR PLAQUE to type the name IF it's different than the name you listed above.
Are you an Employee with a County Sheriff's Office
- Yes
- No
Please check one.
If you answered YES, you do work at the County Sheriff's Office -
Enter COUNTY SHERIFF'S OFFICE you are employed and/or work with above.

PRIMARY MEMBER INFORMATION:
The Individual Member, Head of Household, or Designated Officer for a Business.
* Fields Are Required. NOTE: ISA does not share your personal information with any other entity.
Name*
First Last
Email
Email
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Email*

EMAIL ADDRESS
Phone*
Phone

When paying online via debit/credit card, we need a phone number in case there are any issues with the transaction.
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Phone*
PHONE NUMBER | When paying online via debit/credit card, we need a phone number in case there are any issues with the transaction.
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Phone:*
When paying online via debit/credit card, we need a phone number in case there are any issues with the transaction.
Address*
Street Address Address Line 2 City State ZIP Code
IL Residence County*
Please enter the County you reside in.

Member Level Choices
For NEW Members, choose which level you would like to sign up for today. To RENEW - choose either the current membership level you are at or you can upgrade by choosing any of the upper levels from yours.
You Must Choose a Membership Type - Choose ONE from the list below.*
NEW Members, choose your level! To RENEW - choose either your current member level or upgrade by choosing any one of the levels above yours.
SECONDARY MEMBER INFORMATION:
You have chosen a membership that allows for the Primary Member and one additional member to be listed. Please fill in below.
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
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Phone

License Plate Frame(S)
LICENSE PLATE FRAM(S)
Would you like to add a Car or Motorcyle License Plate Frame to your purchase today?
Simply type in the QUANTITY box the number of frames you would like to purchase. The total will tally in your cart.
License Plate Frame(s) Quantity
Price: $10.00
LICENSE PLATE FRAME(S)
Motorcycle License Plate Frame(s) Quantity
Price: $10.00
MOTORCYCLE PLATE FRAME(S)
Would You Like to add any additional donation amount to your Membership or Renewal Today?
ENTER DONATION AMOUNT HERE

This is a one-time amount you can donate in addition to your membership level and/or license plate frame purchase (if applicable).
You Can Choose an Initiative that you would like to support for Your Additional Donation
Click the arrow for a drop-down list.

How Did You Hear About Us? Click all that apply.
- Our Website
- Social Media
- Direct Mail Piece
- E-mail Marketing/Newsletter
- Radio or TV Ad
- Your Sheriff
- A Friend Recommended You Join
Card Processing Fee*
Price:
To help offset credit card processing charges, there is a $1.00 fee for all credit/debit card transactions.
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Family or Medallion Member #2
Family & Medallion Memberships allow for one additional name to be listed on the account. Please type the name of Member #2 here.
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Would you like to add a Car or Motorcycle License Plate Frame to your purchase today? Simply type in the quantity of each in the box provided.
Total
$0.00
Do not click the Submit button more than once when you complete your transaction.
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

PRIMARY MEMBER INFORMATION: