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MILWAUKEE RETIRED POLICE ASSOCIATION
2009 MEMBERSHIP APPLICATION
RENEWABLE EVERY JANUARY 1st
NEW: _____ RENEWAL:_____ DUES: $ 5.00 DONATION $ ________
Last Name : _____________________________________________ First: _____________________
Address:________________________________________Apt.#____
City:_______________________ State: _____ Zip Code: _________
DOB___________ Age ______
Phone #______________________Listed____Unlisted_____
E-Mail (secure) _________________________________________________
Spouse:First Name:__________Anniversary Date:__________________________
I Completed 25 years of service with The Milwaukee P.D.
In Year__________Retired In Year____________
Comments: ___________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
SNOWBIRDS: List winter address_________________________________________________________________
And what months you’ll be there_________________________________________________________________
Print this application out and mail it along with your dues to the below address:
Mail To :
Milwaukee Retired Police Association
P.O.Box 340877
Milwaukee WI
53234-0877
Click here to download and print Application
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