BORDER PATROL AUXILIARY MEMBERSHIP APPLICATION FORM

To submit your application for the Border Patrol Auxiliary please fill out the form below. Once completed you will be redirected to a page for processing your credit card securely. Paypal does our credit card processing but you do not need a Paypal account. Your Visa, MC or AMEX will work just fine. The annual dues are $50. If you have recently had a felony background check completed or have a CCW please tell us in the appropriate box. Otherwise BPAUX will conduct a felony background check at no additional charge to you.
Our membership team will contact you shortly to complete the interview. You will receive a membership card in the mail in 2-4 weeks.

First Name:
Middle Name:
Last Name:
Your Social Security Number (optional)
Date Of Birth (Month, Day, Year)
 

Current Street Address:

 

Current City:

State and Zip Code
Current Emergency Contact Phone Number:
Regular Contact Phone Number:
 

Email Address where we can contact you:

Backup Email address of spouse or friend.
Number of years at current address:
What are the best day, time, and contact phone to talk to you?
What is your occupation now?
 

If you are retired, what field were you employed in while employed?

If you have a CCW permit, please list what state, date of expiration and number.
 

If you have been in the military or law enforcement, please list what you did and where and when it was. List any special skills you may have that can benefit BPAUX.

 

Are you interested in a BPAUX leadership role at this time, and if so what skills, experience, background qualifies you for a leader.

 

Signature & Date In Box
All of the above data will be kept for use by BPAUX only, and destroyed after a member leaves BPAUX, and not be shared with any other group or company.

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