Please complete the following application and press the "Submit" button at the bottom of the form. Your application for membership will be promptly processed. Are you a new or Returning Member? *Returning MemberNew MembershipPlease List Names of Applicants to Renew Membership *Number of Examiners to Renew *12345678910Department or Organization *Street Address *Division, suite, etcCity *State *ZIP / Postal Code *Email Address *Phone Number *Voice Stress Instrument Used ** DisclaimerI {name-1} {name-2} certify that all information contained in this application is complete and true to the best of my knowledge. I understand that any material omission, misrepresentation or falsification of this information is grounds for dismissal or refusal of membership to the IAVSA Association. I hereby authorize investigation of all statements contained herein and give permission to contact any or all of my previous employers, references and/or schools attended for information.I Understand and agree to all terms Listed aboveFirst Name *Last Name *Department or Organization *Street Address *Division, suite, etcCity *State *ZIP / Postal Code *Email Address *Phone Number *IAVSA / CVSA / VIPRE Systems / FVSA Basic certified?Select if you are IAVSA / CVSA / VIPRE Systems / FVSA Basic CertifiedIAVSA / CVSA / VIPRE Systems / FVSA Basic CertificationYour Instructor *Graduation DateVSA Certification (Most Recent)Location of Training *VSA Graduation DatePolygraph Qualified? *YesNoUpload Certification Certificate (If Applicable)Choose FileNo file chosenDelete uploaded file* DisclaimerI {name-1} {name-2} certify that all information contained in this application is complete and true to the best of my knowledge. I understand that any material omission, misrepresentation or falsification of this information is grounds for dismissal or refusal of membership to the IAVSA Association. I hereby authorize investigation of all statements contained herein and give permission to contact any or all of my previous employers, references and/or schools attended for information.I Understand and agree to all terms Listed aboveMembership DuesMembership Payment *Check By MailPlease InvoiceMembership Payment *Check By MailPlease Invoice* Payment InformationPlease Make Checks Payable to: IAVSA, LLCP.O. Box 357 Lima, OH 45802* Payment InformationPlease Make Checks Payable to: IAVSA, LLC P.O. Box 357 Lima, OH 45802Invoice InformationIAVSA will submit an invoice to: "{name-5}" Please select "Submit Registration" to complete your registration.Invoice InformationIAVSA will submit an invoice to: "{name-5}" Please select "Submit Registration" to complete your registration.Submit Registration