COPS 8 Membership Application
Please Print this form and mail to:
COPS 8
840 N. Rampart Street, # 51
New Orleans LA 70116


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Name (Please Print):
Mailing Address:
City, State & Zip:
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Date:  
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  Phone:   
       Email:     


Membership Levels & Annual Dues (check one):
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 Patrol Officer $30.00 {short description of image}  
 Captain $500.00
 
 Sergeant $100.00    
 Chief $1000.00
 
 Lieutenant $250.00    
 Hero Member $2000.00 or more
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Dues Enclosed  
Donation  
Total Enclosed  

Please make checks payable to COPS 8