WISCONSIN FRATERNAL ORDER OF POLICE

Milwaukee - Cream City Lodge #8

PO Box 20985
Milwaukee, Wisconsin 53220
Email – fopcreamcitylodge8@gmail.com
“Serving All Law Enforcement Officers”

Application for Active, Retired and Auxiliary Membership in good standing.

Name: _____________________________________ DOB: _______________ Spouse Name: __________________________

Address: _______________________________________ City: _______________________ ST: _____ Zip Code: __________

Employed by/Retired from: ________________________________________________________________________________

Position Held by Employee: _______________________________________________________________________________

Home Phone: _______________________ Work Phone: _______________________ Mobile Phone: __________________

Personal E-Mail Address only:______________________________________________________________________________

Referring FOP member if applicable: ____________________ Previous FOP lodge___________________

I certify that I am an American Citizen of adult age and a Federal/State Certified Law Enforcement Officer.
I hereby apply for membership as an ACTIVE or RETIRED MEMBER. I promise to abide by the By-Laws
and Constitution of the Fraternal Order of Police. I also pledge myself to conduct myself at all times in such
manner as not to bring reproach upon the Fraternal Order of Police or its lodge members. I agree that
violation of this pledge shall result in forfeiture of membership, prior dues and all its privileges. If my
membership is revoked or I resign my membership, I agree to the above forfeiture and will return the issued
emblems and membership cards with the FOP insignia to the Cream City Lodge 8.

Signature: ____________________________________________________Date: ___________________________________

Note: Attendance to a scheduled monthly meeting is required in order to become voted in. Annual membership dues are $65.00.
Donations are always welcome. Meetings are held on the second Wednesday of every month at 1830 hours, location to be
announced in the monthly e-mailed newsletter or via Facebook messaging. Lodge location is not publicly disclosed.

For Lodge Secretary Use Only

Type Membership: _____ Active _____Retired _____ Transfer _____ Associate _____ Approved _____ Disapproved

Signature of Lodge Secretary (or other Authorized Elected Lodge Official) ________________________________ Date: __________

This form may be reproduced for membership purposes. All information will be kept confidential.