Alabama Peace Officers Association
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Membership & Benefits


For Associate Membership (non-law enforcement personnel) complete the following form and remit $20.00 annual dues to the Alabama Peace Officers' Association, 940 Pelham Street, Montgomery, AL 36104:
* Name: (required)
Referred by:
Mailing Address:
City:
State:
Zip:
* E-mail: (required)

For Law Enforcement Membership complete the following form and remit $20.00 annual dues to Alabama Peace Officers' Association, 940 Pelham Street, Montgomery, AL 36104:
* Name: (required)
Referred by:
Employed By: (law enforcement agency)
Date of Birth:
Mailing Address:
City:
State:
Zip:
Beneficiary's name:
$10,000 Line of Duty Death Benefit or $500 Any Cause Death Benefit
Relationship:
Address:
* E-mail:



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