ACTIVE MEMBERSHIP Active Memberships are Only Available to Active or Retired Law Enforcement Check Made Payable to "Nassau County FOP Lodge 69" Pay Online Annual Dues: $55.00Late Renewal Fee: $15.00 (If not submitted by December 1st)New Member Administration Fee: $15.00 (Include copy of Law Enforcement ID) *Mail checks with completed Membership card to* Please Fill Out The Form and Click the button to Print the form… CheckboxNEW ADDRESSNEW MEMBERRENEWALBENEFICIARY CHANGETOTAL ENCLOSED : $CK. #FIRST NAMEMILASTADDRESSPHONECITYSTATEZIP+4DOBDEPARTMENTCheckboxRETIREDACTIVEBENEFICIARYRELATIONSHIPSPONSORED BYDATE RECIVEDEMAILFOP LIC PLATE #SUBMIT AND DOWNLOAD NASSAU COUNTY FOP LODGE 69 P.O BOX 748 EAST MEADOW, NY 11554-0748 Save as PDF