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About
News
Code of Ethics
History
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Advertise With Us
Licensing
Membership
Application
Benefits
Events
Convention
Dealer Conference
State Meetings
All Events
Education
Contact
Store
(337) 886-7282
llssa@llssa.org
About
News
Code of Ethics
History
Board of Directors
Scholarships
Advertise With Us
Licensing
Membership
Application
Benefits
Events
Convention
Dealer Conference
State Meetings
All Events
Education
Contact
Store
About
News
Code of Ethics
History
Board of Directors
Scholarships
Advertise With Us
Licensing
Membership
Application
Benefits
Events
Convention
Dealer Conference
State Meetings
All Events
Education
Contact
Store
(337) 886-7282
llssa@llssa.org
MEMBERSHIP APPLICATION
Please fill out the application below to start the process. Our board will then review and contact regarding the next step.
Membership Application
LLSSA Membership application
Primary Voting Representative
Complete information for the voting representative or company contact.
Person name
*
Phone
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Fax Number
*
Notes
Membership Information
Membership
*
Regular Membership – $440
Related Industry Membership – $340
Associate Membership – $340
Affiliate Membership – $150
Individual Membership – $150
Allied Membership – $100
Public Safety Membership – $50
Number of employees
Not applicable
1-5 Employees
6-10 Employees
11-15 Employees
16-25 Employees
26-50 Employees
51-100 Employees
101-150 Employees
151+ Employees
Number of Locations
Not applicable
1-5 Locations
6-10 Locations
11-15 Locations
16-25 Locations
26-50 Locations
51-100 Locations
101-150 Locations
151+ Locations
Month/Year Founded
License Endorsements
Locksmith
Security
Limited Locksmith
Door Hardware
Bank Locking
Detention Locking
CCTV
Household Fire
Fire Sprinkler
Fire Suppression
Fire Extinguishers
Hydrostatic Testing
Pre-Engineered
Kitchen Suppression
Fire Alarm (non-required)
Fire Alarm Owner
Fire Alarm
Check all that apply.
Company Information
Company Name
*
Phone
*
Company Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email address to send the invoice for payment
*
Website URL
*
Firm License #
*
What services do you offer?
Access Control
CCTV
Central Vac
Contract Monitoring
FM Approved
Guards
Home Automation
I Q Certified
Local Burglary
Local Fire
Locksmith
Modulation
Monitoring Burglary
Monitoring Fire
Own A Central Station
Proprietary Alarms
Telephone Systems
UL-Listed
Other
Check all that apply.
Number of employees
Consent
*
I have authority to complete the application for the company.
Fax Number