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  APPLICATION FOR MEMBERSHIP  
Fellowship of Christian Peace Officers (Canada) Incorporated (1983)

The aim and purpose of the Fellowship of Christian Peace Officers (FCPO) is to bring others to a saving knowledge of Jesus Christ, to promote Christian maturity and growth through the teaching of the Word Of God and to conduct and promote Christian fellowship between law enforcement agencies.

Statement: I subscribe to the Statement of Faith of the FCPO (Canada). I desire to have a part in this ministry and hereby make application for membership. I provide the following information to establish my eligibility for membership and promise to pray for and assist whenever possible in the work of the FCPO.

-Please print or type clearly-

Full Name: _____________________________________ Spouse: ____________________
Address: ______________________________________ Phone: _____________________
City, Province, Postal Code: ______________________________________________________
Agency name and Address: _______________________________________________________
City, Province, Postal Code: ______________________________________________________
Present Assignment: ______________________________ Phone: _____________________



I BELIEVE THAT JESUS CHRIST IS THE ETERNAL SON OF GOD AND I HAVE
RECEIVED HIM AS MY PERSONAL LORD AND SAVIOUR.

Please check one that applies

I am an Active Officer (Police, Correctional, Custom, Excise, Conservation, Justice, (as defined by the Criminal Code) and I request Regular Membership with full voting privileges.

I am a retired Peace Officer (minimum of 5 years service) and I request Regular Membership with full voting privileges.

I am the spouse of an Active or Retired Peace Officer who is or has been a member of FCPO (Canada) [as described above] and I request Associate Membership with full voting privileges.

I request Associate Membership, I understand that this does not include voting or office privileges (Spouse of non FCPO member, Auxiliary Officers and others with an interest in promoting the aims of FCPO Canada).

Today's Date: _________________ Signature: __________________________________
Spouse signature if husband and wife are both applying: Signature: __________________________________

You may apply via online form to be processed quicker, however all applicants must submit a hard copy of the application by printing this one, completing it, signing it and faxing or mailing it to the number/address below. FCPO Canada must have a signed hard copy on file for all members.

Mailing Address: 73 Devonshire Ave,
Tillsonburg, Ontario, N4G 5C3

Telephone: (519) 842-4055 Fax: (519) 842-6107



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