The Maryland Locksmith Association
Full Name
Home Address
Home Phone
Cell Phone
Application Form
Email Address
Date Of Birth
Place Of Birth
Legal Resident Alien
Social Security #
Are You Bonded?
Drivers License #
Driver License State
As an applicant to the Maryland Locksmith Association (MLA), I understand that a background investigation and
reference check will be conducted prior to my acceptance into the MLA. It is also understood that a non-refundable
$30.00 application fee will accompany this application, regardless of the outcome of the investigation and reference check.
Trade Association(s) to which you belong
Trade Association(s) to which your company belongs
Are You Insured?
Are You Licensed As A Security Technician?
Maryland Locksmith License #
Have you ever been convicted of a Felony or Misdemeanor in any State, District of Columbia, or Federal court?
Have you ever been convicted of or received probation before judgment of any drug offense committed after 1/1/1991?
If you answered yes to any of the above questions, you must submit a typed letter giving a complete explanation of the incident(s).
Any falsification or misrepresentation of facts included within this application is subject to immediate suspension of membership and expulsion from MLA with the forfeiture of all monies paid.

The annual Locksmith membership dues of $100.00 or the Association Membership dues of $100.00 shall accompany this application.

Mail the application to:
 Maryland Locksmith Association 
437 Westside Blvd.
 Catonsville, MD 21228

Copyright 2016 Maryland Locksmith Association,Inc.