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YOU MUST BE AN ACTIVE MEMBER OF A PENNSYLVANIA FRATERNAL ORDER OF POLICE LOCAL LODGE TO REGISTER. ALL INFORMATION MUST BE CURRENT AND ACCURATE.  YOUR ACTIVE FOP ID CARD MEMBERSHIP NUMBER IS REQUIRED!!  ALL APPLICANTS MUST BE IN GOOD STANDING WITH THEIR LOCAL LODGE AND WILL BE VETTED!
First Name:
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Last Name:
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Address:
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City, State/Province:
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Postal Code:
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County:
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Phone:

Cell Phone:
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Format (no spaces or dashes): xxxxxxxxxx
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E-Mail Address:
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FOP ID CARD MEMBERSHIP NUMBER :
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PA LOCAL LODGE NUMBER :
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(DO NOT use spaces)
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Strong passwords contain 3 of the following items and at least 6 characters:

- Uppercase Letters
- Lowercase Letters
- Numbers
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