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National
Latino Peace Officers Association
www.nlpoa.org

MEMBERSHIP
APPLICATION
“No one can do everything but everyone can do
something.”
Join the National Latino Peace Officer Association
and take an active role in
our community as an NLPOA member, “who wants to do
something”
Mail your tax-deductible $35.00 yearly dues to:
NLPOA
Wichita-Sedgwick
County, Kansas Chapter
P.O. Box 49502
Wichita, Kansas
67201-9502
316) 807-8989
www.nlpoawichitaks.com
( ) New Member ( ) Regular Member ( ) Associate
Member
( ) Member at Large
Name_____________________________________Date________
Address__________________________________City__________
State_______________Zip__________
Employer___________________________E-Mail_____________
Home
Phone___________________Work Phone______________
Our Chapter will forward $15.00 of the dues and
membership information to the
National Latino Peace Officers office
NLPOA is a non-profit, tax exempt, organization.
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