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9004 Harford Rd. Baltimore, MD 21234 (410) 668-7677 FAX: (410) 668-8109 |
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Membership to FOP 76 for- Active Duty Maryland State Police
| Dear potential member of FOP Lodge 76, if you want to join FOP Lodge 76 you must complete both the payroll deduction authorization and the FOP 76 membership information sheet. Both sheets must be printed out and mailed to: |
| FOP Lodge 76 |
| 9004 Harford Rd |
| Baltimore, MD 21234 |
| Any questions, you can call the Lodge at 410-668-7677. |
Links to printable forms |
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APPLICATION FOR ASSOCIATE MEMBERSHIP
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Dear Applicant This is to inform you that the Maryland State Police Lodge #76 was formed in August 1975. The Lodge is now accepting applications from citizens of good moral character to participate as an Associate Member. This letter is an invitation to apply as an Associate Member and upon approval by the Membership Committee you will have all the advantages of an Active Member with the exception to vote at Lodge meetings. As an Associate Member of FOP Lodge 76, you may participate in all monthly meetings and attend all social functions sponsored by the Lodge. You will also receive a membership card, a decal and an emblem that may be displayed on your vehicle. The dues for an Associate Member will be a minimum of $30.00 per year and should be enclosed with your application. If for some reason your application is not accepted by the Membership Committee, your dues will be refunded as soon as possible. Membership year currently runs form August to August each year. Anyone joining prior to May Ist of the year will be billed in August for the next year's dues. MAKE CHECKS PAYABLE TO FOP LODGE 76 AND MAIL TO ABOVE ADDRESS. I, the undersigned, certify that I am an American Citizen of full age and good moral character, do hereby apply for admission as an Associate Member of F.O.P., State Police Lodge 76, Inc. If elected to membership, I promise to abide by the Constitution and By-Laws of the Lodge; and to conduct myself at all times in such a manner as not to bring reproach upon the Fraternal Order of Police, or upon myself. I also agree that violation of this pledge shall result in forfeiture of membership and all its privileges. If my membership shall be revoked for any cause, I do hereby agree to return to said Lodge, auto emblem, membership card and decal signifying my Associate Membership with the Lodge.
___________________________________________________________________________________________ (print full name) LAST FIRST MIDDLE DATE OF BIRTH ___________________________________________________________________________________________ (address) STREET CITY-STATE-ZIPCODE HOME PHONE ___________________________________________________________________________________________ (employed by) NAME OF COMPANY PHONE # ___________________________________________________________________________________________ YOUR SIGNATURE DATE SPONSORED BY
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