Hendon-McClanahan

FRATERNAL ORDER OF POLICE

Lodge 54

 MTSU BOX 567   1301 EAST MAIN ST   Murfreesboro, TN 37132

Active Membership Petition  

Tennessee State Lodge  

Name: S.S.N

Street: D.O.B.
City: Zip:

Home Phone: Work Phone:

Employed By: Date of Hire:

Department: 

Rank/Position:

Death Beneficiary:

 

Membership dues for the Hendon-McClanahan FOP Lodge 54 are $96 per year for active full-time law enforcement officers who are currently employed with any federal, state, county or municipal law enforcement agency.  STATE LEGAL AID PROGRAM IS INCLUDED!!! Retired members dues are adjusted to $51 per year provided they were an active member in good standing at the time of their retirement.

 

I, ____________________________________ certify that I am a full time Law Enforcement Officer of either Municipal, County, State, or Federal Government.   I understand that any false information will be grounds for expulsion from the FOP Lodge.

 

Signature: ____________________________ Date : ___________________

 

I, ____________________________________ Secretary of Lodge #54 hereby state to the best of my knowledge, the above is entitled to be a member of the FOP as stated in the State Lodge Constitution and By-Laws.

 

Signature: _____________________________ Date: ___________________

 

I, ____________________________________ President of Lodge #54 hereby state to the best of my knowledge, the above is entitled to be a member of the FOP as stated in the State Lodge Constitution and By-Laws.

 

Signature: _____________________________ Date: ___________________

 

Attention: LOCAL LODGE SECRETARY: Upon acceptance of members into your lodge, you are required to submit this form to the STATE LODGE along with you Loses/Gains membership form. Members listed on Loses/Gains forms will not be accepted unless accompanied by this form!

 

State Lodge Received: _____________________________________________________

The FOP star logo, the FOP scroll logo, the name "Fraternal Order of Police" and the name "FOP" are registered trademarks of the Grand Lodge Fraternal Order of Police.
The use or reproduction of the FOP name or logo is forbidden without the express written consent of the Grand Lodge Fraternal Order of Police.