California Fraternal Order of Police

CAFOP Membership Application

First Name:	Last Name:
Are you interested in becoming a member:
Cell:	E-Mail:
DOB:
Employment Status
Peace Officer: Yes No Active Retired	Other:
POA or DSA Association:
Addresses
Home Address:
City, State: ,	Zip Code:
Agency Information
Law Enforcement Agency:
Law Enforcement Agency Address:
City, State: , Zip Code:
Zip Code:

Comments:

Terms and Conditions: I hereby apply for membership in the Fraternal Order of Police of California and pledge to pay dues as set forth in the Constitution and By-Laws. I am a member in Good Standing with my recognized bargaining unit (union or association). A member in good standing is a member who has not withdrawn, canceled, terminated or resigned from membership or has not been expelled or suspended from membership for cause. I further agree to notify the California Fraternal Order of Police of any change in my status. By checking the box below, I agree to all the terms and conditions Date: