Members Information, Web Login and Password
Email:
Login:
Choose password:
Verify password:
First Name:
Last Name:
DPSST#:
Your Rank:
Office Phone:
Member Cell Phone:
Member Nextel Direct Connect:

Members Agency Information
Agency Type (FED,OSP,OTH,PD,SO):
Agency Name:
Agency Address:
Agency City:
Agency State:
Agency Zip:

Team Information and Special Vehicles
Number of Team Members:
Primary Team Contact (PTC) Name:
PTC Phone:
PTC Cell:
PTC Nextel DC:
PTC Email:
PTC Rank:
Team Name (SWAT, SRT, etc.):
Select OTOA Region# (See OR Map):
Team Equip.(Helo,Armored,etc):
Equip-Tech.(FLIR, Robot,Oth):
Loc of Basic TAC School Att:
MM/YY Basic TAC School Att:

Dues Information and Notes
Dues Paid Month/Year:
Dues paid via Team or Individual:
Dues Amount Paid:
Special Notes to OTOA:
 

Note: After submission, your application will be reviewed by a member
of the OTOA Executive Board, once authorized, you will be able to
access all Members Only Content, maintain currency of your profile
data for OTOA and interact with other members from around Oregon.