2024 ASSOCIATE Member Renewal

2025 ASSOCIATE RENEWAL

Fraternal Order of Police® New Jersey Lodge No. 46, Inc.
1. You may submit this form in place of the form which was mailed to you. All forms must be submitted with payment for dues for 2025. No renewal submission will be processed without payment.
2. If your membership is currently under SUSPENSION with the Lodge for delinquency of past dues payments, then DO NOT USE THIS FORM! You MUST contact, Michael Pierce, the ASSOCIATE SECRETARY, Lodge46assocsec@gmail.com or by telephone at 908-591-0286 in order to resolve your suspension.
3. Submission of this form by a suspended member without first resolving any delinquencies will NOT restore your membership, and the resulting payment made will be assessed against any back dues owed.
4. Please complete this entire form. Once completed, submit with with your dues payment (a credit card processing fee will be added)
5. Upon receipt of 2025 Membership materials, all renewals received will be issued by the Lodge by mail.
6. PLEASE SUBMIT your 2025 Renewal NO LATER THAN NOVEMBER 30, 2024 in order to avoid suspension of your membership. Annual dues are payable as of September 1st of each year and must be paid within 30 days of that date.
Your Full Name:*

First NameMiddle NameLast NameSuffix
Street/Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth:*

MonthDayYear
Provide your Date of Birth for our records
Contact Telephone Number:*
Please enter a telephone number where we can contact you.
E-Mail Address:
Please provide an email address where we can contact you. THE LODGE'S PRIMARY METHOD of contact with members is by E-MAIL. This address will only be used for official organization business and will not be shared outside of the organization.
Employment Status:*

Full-TimePart-TimeSelf-EmployedUnemployedOther
Name of Company/Firm Employed at:
Provide Name of Company Employed at
Company Location:
City & State where Company located
Current / Last Position Held:
Provide Current or Last Position Held at Company

My Products

2025 Associate Dues includes the mailing fee2025 Associate Renewal

$85.00

Additional Shield decalAdditional 2025 Shield Decal

$2.00 Quantity

Window Decal

$2.00 Quantity

2025 Associate Dues, will pick up items at a Lodge MeetingNo Mailing Fee

$80.00 Quantity

Associate Member I.D. Card

$5.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

RENEWAL AGREEMENT
By submitting this form and the accompanying payment, I request that FOP® New Jersey Lodge No. 46, Inc. renew my membership as an Associate of the Lodge for 2025. I attest that I remain eligible to be an ASSOCIATE of this Lodge and that I will continue to abide by all the laws and rules of this Lodge and of this order.

In order to remain a member in Good standing, I understand that I must submit this renewal no later than Thirty (30) Days from the date due (September 1st), and that if I fail to submit this renewal in a timely manner, that I may be subject to a suspension of my membership privileges, and that I may be assessed a restoration fee of $30 in addition to my dues in order to reinstate my membership with the Lodge and the Order.
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2025 ASSOCIATE RENEWAL

Credit Card