- This form is for individuals wanting to sign up as a new Citizen Member to support the Illinois Sheriffs' Association and our 102 Illinois County Sheriffs! It allows for additional donations to your transaction, as well as the purchase of either vehicle or motorcycle ISA License Plate Frames.
Please check one.
Be sure to enter it just how you would like it on the plaque.
For NEW Business Members, (click) BUSINESS NAME FOR PLAQUE to type the name IF it's different than the name you listed 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.
Please put your legal business name here.
PHONE NUMBER | When paying online via debit/credit card, we need a phone number in case there are any issues with the transaction.
Please enter the County you reside in.
MEMBERSHIP LEVEL CHOICES
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 your secondary member's information in below.
PLEASE NOTE: If your secondary member resides in a different household, all materials will be sent to your Primary address, and it will be up to you to distribute. We cannot mail items to two addresses.
LICENSE PLATE FRAMES
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.
MOTORCYCLE PLATE FRAME(S)
WOULD YOU LIKE TO ADD AN ADDITIONAL DONATION AMOUNT WITH YOUR MEMBER REGISTRATION?
This is a one-time amount you can donate in addition to your membership level and/or license plate frame purchase (if applicable).
Click the arrow for a drop-down list.
CHECK OUT BELOW:
To help offset credit card processing charges, there is a $1.00 fee for all credit/debit card transactions.
Family & Medallion Memberships allow for one additional name to be listed on the account. Please type the name of Member #2 here.
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.
Do not click the Submit button more than once when you complete your transaction.