WNC-MACON JACKSON COUNTY

FRATERNAL ORDER OF POLICE LODGE #81

APPLICATION FOR MEMBERSHIP

To the Officers of the Fraternal Order of Police

I, the undersigned, do hereby make application for Membership with the WNC-Macon Jackson county Lodge #81.  This application is being made for the following membership type: 

Please print the following information:                                 Email Address: _______________________________

Full Name: ___________________________________________________________ DOB: _______________

Mailing Address: __________________________________    City/State: ____________________ Zip: ___________

Home Phone: (____) _____________ Cell Phone: (____) ______________ Work Phone :(____) __________________

Representing Department: ______________________________ City/State: ___________________ Zip: __________

Employment Status: (Please Circle) ACTIVE   RETIRED Transfer in from Lodge #: _______   City/State: ___________________

Obligation

    I, _________________________________, in the presence of the Creator of the Universe and the members of the Fraternal Order of Police here assembled, do most solemnly and sincerely promise and swear, that I will to the best of my ability comply with all the laws and rules of this Order; that I will recognize the authority of my legally elected officers and obey all orders therefrom not in conflict with my religious or political views, or my rights as an American citizen; that I will not cheat, wrong, or defraud this order, or any members thereof, or permit the same to be done if in my power to prevent it; that I will at all times aid and assist a worthy Brother/Sister in sickness or distress, so far as it lies in my power to do so; that I will not divulge any of the secrets of this Order to any one not entitled to receive them. To all of which I most solemnly and sincerely promise and swear.  Should I violate this, my solemn oath or obligation, I hereby consent to be expelled from the Order. 

I read the Obligation above and affix my signature in acknowledgement: _________________________

Date: _______________

If my membership should be revoked or discontinued for any cause other than retirement while in good standing, I do hereby agree to return to said Lodge my membership card and any other material bearing the FOP insignia, such as auto emblem, lapel pin, etc. Applicant is subject to a background check. 

Mail or Deliver Application/Dues To:                      

Fraternal Order of Police 

P.O. Box 12

Franklin, N.C. 28744-0012

For any Questions or Additional Information Call

John O’Connor  

(828) 349-0698