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AFRICAN AMERICAN POLICE LEAGUE
1403 East 75th Street #2 Chicago, Illinois 60619
Phone# - 773-256-AAPL E-mail address - aapoliceleague.org
MEMBERSHIP APPLICATION
(POLICE)
ANNUAL DUES $50.00
NAME ___________________________
STAR _____________
ADDRESS ______________________
CITY ___________ STATE _____
DATE OF APPT. __________________
DIST. OF ASSIGNMENT ______
TELEPHONE # HM. ______________
CELL _______________
DISTRICT OF RESIDENCE ________
D.O.B. ______________
Paid in full. Expiration _________
Signature ______________________
(Member)
Signature ______________________
(President-AAPL)
Receipt
Paid #50.00 dues . African American Police League
Date: _________
Expiration:_________
Sign: _________________________, President AAPL
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