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California FOP Membership Application

First Name:
Last Name:
DOB:
E-Mail:
Cell:
Peace Officer:
Yes  No  Active  Retired
Other:
Home Address:
City, State:
,
Zip Code:
POA or DSA Association:
Law Enforcement Agency:
Law Enforcement Agency Address:
City, State:
,
Zip Code:

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 A member in good standing is a member who has not withdrawn, cancelled, terminated or resigned from membership or has not been expelled or suspended from membership for cause.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:


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California Fraternal Order of Police
840 Richards Blvd
Sacramento, CA 95811
  (916) 662-7351

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