New Member Application

  • MEMBER INFORMATION

  • AGENCY INFORMATION

    *Retired Members receive a discounted rate of $20/year. Retired Applicants will need to submit a copy of their retired credentials with their application.
  • Dues Information

    Please select your membership type and/or enroll in the Officer Injury and Illness Fund
  • $0.00
  • BENEFICIARY INFORMATION

    If you are enrolling in the Officer Illness and Injury Fund, please complete the information below.
  • Note: You Only need one beneficiary, if you would like to name two please indicate the percentage for each.
  • I, the applicant for Lodge Membership, warrant the truthfulness of the information provided in this application. I understand that my electronic signature (above) constitutes a legal signature confirming that I acknowledge and agree to the Terms of Acceptance.
  • $0.00
    This does not include your Direct Deposit amount. Please note: Direct Deposit is only available to Forsyth County employees at this time. If paying by Direct Deposit, you must also complete and return the Forsyth County Direct Deposit Form found on the "Become a Member" page of the website. Forms should be turned in to Captain Silveous.

SGT. D.P. Land Memorial Lodge #82
Fraternal Order Of Police

foplodge82@gmail.com

SGT. D.P. Land Memorial Lodge #82
Fraternal Order Of Police

foplodge82@gmail.com

Mailing Address:
Post Office Box 1374
Cumming, Georgia 30028

Physical Address:
248 Castleberry Industrial Dr
Cumming GA 30040

Physical Address:
248 Castleberry Industrial Dr
Cumming GA 30040

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