Name:

Address:

City:

State:               Zip:

Date of Birth:   month/day/year (01/20/1969)

Email address:   email addresses will be kept confidential

Phone Number:   (xxx) xxx-xxxx format  (required)

        Permanent Rangers $60.00/year 

       Seasonals and Retired Active Members $40.00/year 
              

       Associate (non-commissioned) Membership (newsletter only)  $40.00/year

       This a New Renewal membership.  
     
       Check box if you will be mailing your payment to the lodge via U.S. Mail and not paying online via credit card.

Would like a email reminder at the above email address invoice from PayPal when your dues are due?         Yes No

   NPS Area: Your park's alpha code (YOSE)

 Enclose a copy of your commission (new commissioned members only)
 Mail to:  FOP Lodge, PO Box 1481, Twain Harte, Ca. 95383

By submitting this form and its information you are agreeing to the membership statement above. Any violation of the membership agreement will be cause for dismissal from the lodge.

"Please enter "1234" to validate your entry"

Effective June 23rd, 2008 the Lodge Secretary and Business Manager are working in the back country this summer, which  means a delay in receiving and sending mail.

We will enter your membership in the Grand Lodge ASAP. There will be a delay in receiving your membership card, but we will send it to you as soon as it arrives. We thank you for your patience during this busy period.

Please only hit the submit button once.