NYPD Citizens Police Academy Alumni Association

form to join our association

please make a copy

To Treasurer, C.P. A. A.A., Inc. P.O. Box 8504 , New York, New York 10116-8504

Date Graduated __________________

Please enroll me as a Member of the Citizens Police Academy Alumni Association. Enclosed is $15.00 due by check or money order payable to the Citizens Police Academy Alumni Association. Temporary Membership is effective upon satisfactory receipt of funds. Thereafter dues are payable each January. I understand that membership in good standing in the association is after the dues are paid and I attend four monthly meetings.


NAME (PRINT) ______________________________ Phone ( ) _________________(day)

ADDRESS__________________________________________Apt._______
Phone ( ) _________________( evening)

Borough _______________________________Zip_________________ Fax ( ) _____________________

E MAIL ADDRESS ________________________________________YOUR PRECINCT________________________