FOP Auxiliary Membership Application

Name *
Name
DOB *
DOB
Address *
Address
Mobile Phone *
Mobile Phone
Home Phone *
Home Phone
Name of FOP Lodge Member *
Name of FOP Lodge Member
This will be verified.
Auxiliary Membership *
Auxiliary Membership is extended to family members, 18 years of age or older of a registered member of the Fraternal Order of Police Chesapeake Lodge #9 in good standing. Registered status will be verified upon receipt of this application. I, the undersigned, affirm that I meet the requirements for membership and do hereby make application to the Fraternal Order of Police, Chesapeake Lodge #9 Auxiliary.
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