SDORCA Retail Partner Application
Complete the form below to apply for membership.

APPLICANT INFORMATION
First Name:*

Last Name:*

Position/Title (if applicable)

Company / Organization Name:*

Address:*

Address 2:

City:*
State: (ie: CA)* 
  Zip code:*
 

CONTACT INFORMATION
Phone: (e.g. ###-###-#### ext.)*

Mobile Phone: (e.g. ###-###-####)

E-mail:* (must be a organzation email address)
 
Create a password:* (for website access)


ADDITIONAL COMMENTS / REFERRED BY
 

In an effort to improve communications and assist Law Enforcement in identifying illicit individuals and Organized Retail Crime (ORC) networks, SDORCA has established a secure website where local retailers and businesses are able to post and review information of a confidential nature to assist Law Enforcement in identifying said individuals.

The information contained on the website is for SDORCA member's use only.  Any unauthorized release, copying, distribution of any of the information contained herein will result in the termination of access to this site and may expose an individual or corporation to legal liability.

I understand the above stated guidelines and will abide by them.  I understand that information on the website can be removed at the webmasters discretion at any time.  I also understand and agree that failure on my behalf to abide by the information above will be grounds for dismissal from further participation in the program.

I agree


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Questions? email retail@sdorca.org