Membership Application

I hereby make an application for membership in California Peace Officer Protection Alliance (CPOPA), and authorize the State Controller to deduct from my salaries and wages the amount specified now or in the future for membership dues. This authorization will remain in effect until canceled by me or the organization at my written request. 

I certify that I am a member of the above named organization and understand that termination of membership will cancel all deductions made under this authorization.

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Membership Application

I hereby certify that I am a member of the California Peace Officers Protection Alliance (CPOPA).  If not a member, I am making application for membership in CPOPA and authorize the California State Controller to deduct from my salaries and wages the amount specified now or in the future for membership dues.  This authorization will remain in effect until cancelled by me or the organization at my written request.  I certify that I am a member of the above named organization and understand that termination of the membership will cancel all deductions and benefits under this authorization.  I authorize CPOPA to collect the monthly minimum ($30.00) dues amount for my membership.  Upon California retirement, I agree to become a ($25.00) per month CPOPA retired member.