Southeastern Minnesota Police & Peace Officers Association
Post Office Box 8304 • Rochester, Minnesota 55903-8304
semppoa@semppoa.org • www.semppoa.org
NEW MEMBER APPLICATION
Thank you for your interest in becoming a member of the Southeastern Minnesota Police & Peace Officers Association.
Please fill out the information below and print this application by clicking the button below.
First & Last Name
Agency
Mailing Address
City
State
Zip
Telephone (Work)
Ext
Fax/Other Phone
E-mail Address
POST Number
Membership Type
One Year Membership: $5.00
Five Year Membership: $20.00
After printing, please mail this form to the address below along with a check made payable to SEMPPOA.
SEMPPOA
New Membership
P.O. Box 8304
Rochester, MN 55903-8304
