Become a Member

Meetings are held the 1st Wednesday of the month @ 6:30 PM at G-Volas Cafe.

G-Volas Cafe

1566 Route 38 Lumberton, NJ 08048

Directions To G-Volas

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Membership Application.

Thank you for your interest in membership with Officer Down, NJ!

To become a member, fill out the form below.

Name:

Address:

City:

State:

Zip Code:

Phone:

Age:

Sex:

Email:

Are you a Law Enforcement Officer?

If Yes, Name of Dept/Agency

Address

City:

State:

Zip:

Rank:

Phone:

If you are not a Law Enforcement Officer

Occupation:

Business Address:

City:

State:

Zip:

Phone:

Email:

References: Officer Down requires three references of good character to ensure the integrity of potential members.

Reference 1

Name:

Phone:

Years Known:

Relationship:

Reference 2

Name:

Phone:

Years Known:

Relationship:

Reference 3

Name:

Phone:

Years Known:

Relationship:
In the space provided below, please tell us, in your own words, how you believe you could benefit Officer Down, Inc.

Thank you for you interest in becoming a member to Officer Down, Inc. You will be contacted before the next scheduled meeting. If you should have any questions, please feel free to contact me directly at

(609)-502-9070.

Respectfully,

Len Werner
Chairman

 

OfficerDown, NJ • P.O. Box 3281 • Mercerville, NJ 08619