EULESS CITIZEN POLICE ACADEMY ALUMNI ASSOCIATION
                1102 W. Euless Blvd.
                Euless, Texas  76040




APPLICATION FOR MEMBERSHIP

NAME:____________________________________  CPA CLASS #______

ADDRESS:____________________________________________________

CITY:_________________________  STATE:_____  ZIP:___________

OCCUPATION:_________________________________________________

HOME PHONE #:_________________ WORK PHONE #:________________

E-MAIL ADDRESS:_____________________________________________

BIRTH DATE:_____________________________(NOT INCLUDING THE YEAR)

FAMILY INFORMATION (Spouse, kids, parents, etc.):
____________________________________________________________

____________________________________________________________

Membership Fee $20.00 per year. (Note: For mid-year grads, 
pro rated fee of $10.00) (Membership Fees are non-refundable)

Why do you wish to be a member of the Alumni Association?  
And what do you hope to get out of your membership?   
____________________________________________________________

____________________________________________________________

____________________________________________________________


Are you interested in serving on a committee or as an 
elected officer?

____________________________________________________________

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