COPS 8 Membership Application
 

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

 

or drop off at the

8th District Police Station, 334 Royal Street, c/o B.B. St. Roman

If contributing online, you may fax it to 504-523-2336

 

Name (please print):  _______________________________________________________________________

Mailing Address:      ________________________________________________________________________

City, State & Zip:     ________________________________________________________________________

Phone:  __________________________  Email: _________________________________________________

Date: _____________________


Membership Levels & Annual Dues (check one):
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 Patrol Officer

 $30.00

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 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