FRATERNAL ORDER OF POLICE


LOCAL OFFICER ROSTER

 

Please provide the following contact information:
Lodge Name & Number 
Lodge Name (cont.) 
Lodge Street Address 
City 
State
Zip/Postal Code
Lodge Phone
Lodge FAX 

 

LODGE OFFICERS TERM'S EXPIRE -- mm/dd/yy

LODGE MEETING DATE -- mm/dd/yy

President's Information

President
Mailing Address
City
State
Zip/Postal Code
Home Phone 
Work Phone

 

Vice-President's Information

Vice-President
Mailing Address
City
State
Zip/Postal Code
Home Phone 
Work Phone

 

Secretary's Information

Secretary
Mailing Address
City
State
Zip/Postal Code
Home Phone 
Work Phone

 

Treasurer's Information

Treasurer
Mailing Address
City
State
Zip/Postal Code
Home Phone 
Work Phone

 

 

 

 

Lodge Number
Secretary's Name

DATE -- mm/dd/yy

 

 



Copyright © 1999, 2000  Indiana State F.O.P..   All rights reserved.
Revised: November 01, 2002