The information you provide for your registration will be used to update your FOP membership information. This information will NOT be disseminated to any other person, agency, or organzation.
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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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Country:
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Phone: *
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Cell Phone: *
Format (no spaces or dashes): xxxxxxxxxx
Select Your Cell Phone Provider:
*
Send Me Text Message Alerts:
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E-Mail
Address: *
Allow other members to view my email address |
Confirm E-Mail
Address: *
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Gender: *
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Date of Birth: *
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Employment Status (Active, Retired, N/A): * |
Date Joined: *
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Member #
:
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Agency
:
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Member Type
:
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Choose
Username: *
(DO NOT
use spaces) |
Choose
Password: *
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Password Strength:
Strong passwords
contain 3 of the following items and at least 6 characters:
- Uppercase Letters
- Lowercase Letters
- Numbers
- Symbols
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Click
the Preview button below to review the registration information on the next page.
* Required Fields |