2024 Membership

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Active/Retired (Law Enforcement):

New $60.00 Renewal $60.00

First Name:

Middle Name:

Last Name:

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Status:

Active Retired

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MEMBER BENEFICIARY INFORMATION (If left blank, LODGE 89 will be the default beneficiary)

Beneficiary Name:

Relationship to You:

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I hereby declare that I am a regularly appointed full-time, or retired, uniform law enforcement officer with arrest powers, who is employed by the United States, or a state, city, town, village or political sub-division therein and subject to its Constitution and By-Laws.

I, hereby declare that I am a civilian (NON-Law Enforcer) and promise to abide by all the rules and regulations of the Fraternal Order of Police and NYC Corrections Lodge 89. If my membership is revoked or discontinued for any reason I do hereby agree to return my membership card and any other material bearing the F.O.P insignia to NYS Lodge 89 or the State Lodge or the Grand Lodge of the Fraternal Order of Police.

Signature:

Date:

Applications can be completed online at www.fopnyslodge89.com with PAYPAL or should be mailed to: FOP LODGE 89, P.O. BOX 690701, EAST ELMHURST N.Y. 11369 Please make money order or checks payable to FOP lodge 89.

Applications can be completed online at www.fopnyslodge89.com. Checks, M.O. payable to FOP lodge 89. We accept PAY PAL. Please mail applications to: RIKERS ISLAND LODGE 89, P.O. BOX 690701, EAST ELMHURST, N.Y. 11369

Note: Application received after April 30, 2024 will be held for 2025 membership

Note: Application received after April 30, 2024 will be processed for 2025 membership

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FOP LODGE 89 T-SHIRT ONLY

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