×
Register an Account
Forgot Login?
Application
                                                                                                    

                                                                                     Level - Active Member - $65.00

                                                                               Membership is valid for 1 year until October 1.

                                                                                    Automatic renewal (recurring payments)

                                                               ****If you are already a prior member, do not reapply and contact the lodge.**** 

I, the undersigned do hereby respectfully submit my application to the officers and members of the Pennsylvania Criminal Investigator's Lodge #92, Fraternal Order of Police, and do humbly show that I am desirous of being a member of your honorable lodge and request that I may be received among you , and I will ever pray for the prosperity and glory of the fraternity and the welfare of the brothern. I do certify that I am an American citizen of full age and good moral character and have never been convicted of any felony or misdemeanor or for any offense punishable by imprisonment. I do certify that I am a full time or retired peace officer for the Commonwealth of Pennsylvania If elected to membership, I promise to abide by the by-laws of Lodge #92 and all the rules and regulations of said Lodge, and pay all dues established by the membership, and to conduct myself at all times in such a manner as not to bring reproach upon the Fraternal Order of Police, Lodge #92 or myself.

I also agree that violation of that pledge shall result in forfeiture of my membership and all its privileges. If my membership should be revoked for cause, I do hereby consent to immediately return to the lodge all emblems and cards signifying membership in Lodge #92. I have read the foregoing application and in testimony of my full understanding thereof, have, of my own free will and hand, affixed my signature thereto.

First Name *
Middle Initial
Last Name *
Home Address *
City *
State *
Postal Code *
County *
Personal Email *
Do not use work email
Cell Phone *
Home Phone
Birth Date *
Employer *
Job Title *
Sponser *
Authorize Agreement *
BY SIGNING THIS DOCUMENT ELECTRONICALLY, I CONSENT TO JOIN FOP LODGE 92 CRIMINAL INVESTIGATORS LODGE. I HAVE READ, UNDERSTAND, AND SUBMIT THIS APPLICATION TO BE ADMITTED AS A MEMBER OF FOP LODGE 92.
Signature *

Use your mouse, finger, or touch device to write your signature.
Agency ID *
Upload Agency Id






<< May 2024 >>
S M T W T F S
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30 31
-
FOP Lodge 92
PO Box 17
Gilbertsville, PA 19525
 

Top of Page image
Powered By UnionActive - Copyright © 2024. All Rights Reserved.