The United States Municipal Police Association (USMPA)
is a nonprofit, 501(c)(3) organization formed in 1995
to serve city law enforcement personnel.
You will also be mailed a copy of The Municipal Police Magazine. Our publication will keep you up to date with the latest in law enfocement news from around the country as well as
benefits awarded by the USMPA.

To join, simply fill out the application below. Print it out and either fax or mail
the completed form to us. Address and fax number on bottom of page.
NAME

YOUR EMAIL

RANK

YOUR BENEFICIARY NAME
DEPARTMENT

BENEFICIARY RELATIONSHIP TO YOU
DEPARTMENT ADDRESS

 DEPARTMENT PHONE




YOUR PREFERRED MAILING ADDRESS
YOUR CHIEF OF POLICE'S NAME
CHIEF'S EMAIL
MAIL TO:
USMPA
1304 Langham Creek Drive, #324
Houston, TX 77084

FAX TO:
(281) 994-2634

Questions? Call Toll-Free:
(877) 800-5821

IMPORTANT!
Your signature is required for your application to qualify.

Sign on line below:


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