Page 45 - TPA Journal Sept Oct 2021
P. 45

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                                     Application for Membership

                                TEXAS POLICE ASSOCIATION







        Student - $10.00         Citizen - $150            Business - $500            Donation - $



        Name                                                        Date of Birth



        Agency/Company                                            Title




        Mailing Address



        City                                         State                Zip




        E-mail Address



        Contact Phone Number





        Signature                                                    Date






        Mail Application and Dues to:     Texas Police Associati on, P.O. Biox 4247, Austin, Texas 78765-4247












        Sept./Oct.  2021         www.texaspoliceassociation.com • (512) 458-3140                         41
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