GUADALUPE VALLEY PEACE OFFICERS ASSOCIATION by pharmphresh28

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									                                             GUADALUPE VALLEY PEACE OFFICERS
                                                      ASSOCIATION
                                                                      P.O. BOX 1043
                                                                 SEGUIN, TEXAS 78156-1043

                                        GUADALUPE COUNTY                BEXAR COUNTY              CALDWELL COUNTY
                                        COMAL COUNTY                    HAYS COUNTY               GONZALES COUNTY



                                                                                                Date: _____________
TO:      SECRETARY-TREASURER
     I hereby make application for membership in the GUADALUPE VALLEY PEACE OFFICERS
ASSOCIATION.
DUES: $ 15.00 per year (Age 60 and over: $ 10.00 per year)
All applications must be accompanied with dues and initiation fee. (Membership Card; Car Windshield Decal
and copy of Constitution & By-Laws will be mailed to you.)
***** PLEASE PRINT or TYPE *****

  NAME: __________________________________________________

  RANK/POSITION: _______________________________________________

  ORGANIZATION: _______________________________________________

  WORK ADDRESS: _______________________________________________

  CITY, STATE: ____________________________________________ ZIP: _____________

  HOME ADDRESS: _______________________________________________

  CITY, STATE: ____________________________________________ ZIP: _____________

  TELEPHONE: WORK: _______________________ / HOME: ______________________

  EMAIL ADDRESS: ___________________________________

* Mail Association letters to your Home Address: ! or Work Address: !

Enclose with Application, $15.00 dues.                            Recruiter: _____________
       NOTE: If you are not holding a position related to the Enforcement of Law, you may make application
       for an Associate Membership by having a member of this organization sign the following affidavit.

       “Based upon my association with and knowledge of the above applicant, I do hereby certify that his/her interest
in Law Enforcement and his/her moral character are such that I wish to place his/her name before the Directors of the
Guadalupe Valley Peace Officers Association as a candidate for Associate Membership.”

                                                                Member: ____________________________________

                                                                Organization: ________________________________
01/01/2005

								
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