2023 ASSOCIATE Renewal

2023 ASSOCIATE Renewal Form

FRATERNAL ORDER OF POLICE NEW JERSEY LODGE No. 46, INC.
PLEASE COMPLETE THIS FORM AND SUBMIT WITH YOUR CREDIT CARD PAYMENT BELOW (A CREDIT CARD FEE IS ALSO ASSESSED). ASSOCIATE DUES FOR 2023 ARE DUE AS OF OCTOBER 1, 2022.

NOTE: IF YOU ARE IN ARREARS OF YOUR 2022 DUES, YOU HAVE THE OPTION TO ALSO PAY YOUR 2022 DUES IN ADDITION TO YOUR 2023 DUES WITHOUT PENALTY IN ORDER TO BRING YOUR MEMBERSHIP CURRENT

IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT THE LODGE AT 1-862-201-4641.

*PLEASE NOTE: THAT 2023 MEMBERSHIP MATERIALS WILL NOT BE IMMEDIATELY AVAILABLE UNTIL THE DECEMBER 2022 MEETING OR LATER, DEPENDENT UPON STATE AND NATIONAL PROCESSING TIMELINES
Full Name*

First NameMiddle NameLast NameSuffix
Current Address*

Street Address

Street Address Line 2 (Apt., Ste., Box)

CityState / Province

Zip Code (+4 if available)
Date of Birth:*

MonthDayYear
Your birthdate is required to update National FOP records
Daytime Contact Telephone Number:*
Please provide a daytime contact number
Evening Contact Telephone Number:
Please provide an evening contact number. If the same as daytime, then leave blank
E-mail Address:
The Lodge requires your e-mail so we can keep in touch with you. PLEASE PROVIDE YOUR E-MAIL ADDRESS

Associate Renewal Options:

2023 ASSOCIATE Renewal (Pickup Only)CHOOSING THIS OPTION REQUIRES YOU TO PICK UP YOUR MEMBERSHIP CREDENTIALS AT A MEETING* (*not available until December Meeting or later. See instructions at top)

$80.00

2023 ASSOCIATE Renewal (Member Card Only Mailed)CHOOSING THIS OPTION, THE LODGE WILL ONLY MAIL YOUR 2023 ASSOCIATE CARD & DECAL AT NO ADDITIONAL COST

$80.00

2023 ASSOCIATE Renewal (Complete Package)CHOOSING THIS OPTION, THE LODGE WILL MAIL YOUR COMPLETE PACKAGE, INCLUDING MEMBERSHIP CARD, DECAL, AND ANY CARDS.

$85.00

2023 Car Shield ID CardsCARD IS REQUIRED FOR ALL ASSOCIATE CAR SHIELDS. ONE (1) CAR SHIELD CARD IS INCLUDED WITH RENEWAL. A SECOND CARD IS AN ADDITIONAL $5. CONTACT THE ASSOCIATE SECRETARY IF YOU REQUIRE MORE THAN 2 SHIELD ID CARDS.

$ Free Quantity
Item subtotal:$0.00

2022 Back Dues PaymentAssociates who are in arrears of their 2022 Dues may pay their 2022 dues IN ADDITION to their 2023 Dues in order to bring their membership current

$75.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

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2023 ASSOCIATE Renewal Form

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