| FOP 84 Western Hamilton County 2008 Membership dues Please print this form and mail it with your dues, or turn it in at the next meeting. Enclosed are my dues for 2008 FOP membership. Name:__________________________________________________________________________ Please print Home address:__________________________________________________________________ Phone number:__________________________________________________________________ email:__________________________________________________________________________ Active: $40.00 _________________ Retired: $25.00 ________________ Please mail this form and a check made payable to: FOP Lodge 84 Patti Brown 6323 Glengariff Cincinnati, OH 45230 ******************************************************************************************************************************** If you no longer wish to be a member of FOP 84, please indicate below and mail to the above address. _________ I do not wish to remain an active member in FOP Lodge 84. Please remove my name from your roster. Name: ____________________________________________________________ Please print Signature: _________________________________________________________ Thank you! |