[contact-form to=’kim@papyrusdocument.com’ subject=’New SWFPCA Application’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Rank/Title’ type=’text’ required=’1’/][contact-field label=’Law Enforcement Agency or Corporation’ type=’text’/][contact-field label=’Agency or Corporation Address’ type=’text’/][contact-field label=’Phone Number’ type=’text’ required=’1’/][contact-field label=’Fax Number’ type=’text’/][contact-field label=’Cellular Number (not for publication’ type=’text’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Membership’ type=’select’ required=’1′ options=’Regular / Associate Member Initial Application: $50.00,Regular / Associate Member Renewal Application: $50.00,Sustaining Member Initial Application: $125.00,Sustaining Member Renewal Application: $100.00’/][/contact-form]