Membership Information Updater

If you have moved, retired, changed departments, or have been promoted, etc. please let us know. If promoted, please note that date.

Member Info Updater

Instructions

Only update the information that has changed since you joined or last change.
The name & date of birth fields are required on this form to verify identity, especially if you don\’t have your member number handy.

First Name *

Last Name *

Date of Birth *

Used for verification purposes

Membership Number

If not sure of member #, Note that here as well

Department

Please Do Not Abbreviate.

Rank

Please add promotion date below.

Promotion Date

Please provide promotion date here if applicable

Work Status *

Currently Working

Retired

Retirement Date

Enter your retirement date if applicable

Veteran Branch

If you are a veteran, please note the branch here. Also, please update that in your email preferences. You will find that at the bottom of the emails you receive from the IAPSNJ. If you are not yet subscribed, go to iapsnj.org/mc-email

Home Address

Apt, suite, etc.

Country

City

State

Zip code

Email *

This will NOT put you on our email list, Please subscribe to our email list at iapsnj.org/mc-email. Email is listed here in case we need to quickly reply to confirm any unclear items.

Are you Married ?

Yes

Divorced

If co-habitating, check other.

Spouse's Name

Home Phone

Work Phone

Only if you have your own office / phone extension

Cell Phone

Union Affiliation

If officer in your union, Title

Additional info

Any Additional information, Interests, or skills that you feel may contribute to the Italian American Police Society of New Jersey.

Submission

Please be patient and wait after you press the Submit Button. You will be sent to a confirmation page.

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Membership Information Updater