Please fill out this application in full and print it out on your computer and send it with your check payable to the
Italian American Police Society Inc.
Press the Submit button to send your information to us.

If you do not have a valid email address click here.
Please provide the following information to complete the Membership Application:
  First Name:         MI:
  Last Name:
Department:Rank: 
  Address1: 
  Address2: 
           City:     State:    Zip: 
    Date of Birth: 
E-mail Address: 
Is your Italian Heritage at least 50% (yes or no): If no, explain 
Marital Status: (yes or no)Spouse's Name: 

The folowing information will not be published in any way and is only for IAPSNJ use

 Home Phone:                    Work Phone: 
           Beeper:     Beeper PIN (if any): 

Home FAX:                Work FAX: 
Cell Phone: 

Membership dues are $25.00 per year
Payment Method:
Please make check payable to
The Italian American Police Society of New Jersey Inc. and mailed to
P.O. Box 352
Lyndhurst NJ 07071

For more information please contact us