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MEMBERSHIP FORM

You may either fill out this on-line membership application (skip this first section), or go to our 'printable membership' pages and print the form before filling out and sending by mail.  Go to either:

(1)     Full Membership Application

(2)     Associate Membership Application

(3)     Social Membership Application

I wish to become a member of the Retired Police Association of NSW Inc.

*      My annual membership fee of  $22.00 will be sent by cheque

                               OR

*      I have completed the ‘Authority to Deduct’ from my

My particulars are as follows:

  1. What type of membership do you require?
     

  2.  
  3. Please provide us with the following information so we can process your request:

First Name:  

Last Name:   

Address:       

Suburb:        

State:         

Postcode:     

Phone:             

Fax:                 

Mobile:             

Date of Birth:  

E-mail:             

Occupation:    

Partner            

Todays Date:  

 

 
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