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Associate Membership Application

If you are interested in becoming a member an Associate Member of the Italian American Police Society of New Jersey, please fill out the application below and press “Submit Application”.    After you’ve done so,  you can remit your membership dues here:
Associate Membership includes all other than Sworn Law Enforcement Officers, such as  police dispatchers, attorneys, business owners, etc.

For a printable version of this form to give to another potential member, please click here.

New Application Renewal 

First Name:
Last Name:

Date of Birth:


Company:
Company Address:
Title:
Business Type:
Business Website:

Referred By: If Family Member, please provide name as well as relationship


Address (line 1):
Address (line 2):
City, State, Zip:

Your Email:


Married?  Yes No
Spouse's name:


The following information will not be published in any way and is only for IAPSNJ use.

Home Phone:
Work Phone:
Home Fax:
Work Fax:

Cell Phone:
Please provide Cell Phone Carrier for Cell Phone Alerts. (future use)
Cell Carrier:


If all the information above is correct, check here then press

After you submit this application, go to the Join Tab above to securely submit your membership dues payment.



Site last updated June 15, 2013 @ 4:10 pm; This content last updated March 25, 2012 @ 10:18 pm

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Night at the Races 6-21-2013

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IAPSNJ Summer Cruise Trip 8-25-2013

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    Monday, February 25th, 2013

    Night at the Races  - June 21st
    Member Picnic  -  August 3rd

    General Meetings Suspended for the Summer – See you in September.

    2013 Dues are due

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