FOP #49 OFFICERS

FOPA Application for Membership
Residence
Residence
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Address 2
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Business Address
Business Address
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Address 2
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Have you ever been a member of any other FOPA Lodge?

You will need to provide a check (or money order) for $55.00 to cover initiation fee and dues for one year.

I, the undersigned, hereby make application to join Cuyahoga Falls Lodge #31 of the Fraternal Order of Police Associates of Ohio, Inc., and hereby state that I am more than 18 years of age, and a citizen of the United States of America.

I, hereby, state that I am of good repute and have never been convicted of a felony and never have been a member of any subversive or un-American organization. I Agree, if found qualified, to abide by the rules, laws, regulation, etc., of the Lodge, and that the decal, membership card, etc. are the property of the Lodge and can be recalled by the Lodge of this order, for misuse or non-payment of dues, or other valid reasons.

TO WHOM IT MAY CONCERN: I hereby give any law enforcement agency or organization the authority to investifate or furnish information concerning me as may be required by this petitioned lodge with recourse, for consideration of application to become a member. This will be held confidential.