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Houston Police Retired Officers Association
Membership Application Form
P.O. Box 130787
Houston, Tx. 77219
Phone/Fax (713) 802-2967 or 1-866-856-7252

Application for Membership

PLEASE NOTE:  THIS IS NOT THE CORRECT FORM FOR ASSOCIATE MEMBERSHIP
 
Name*: Employee Number*:
Spouse's Name: Your HPD Class Number*:
Your Date of Birth*: Your Date of Retirement*:
 
Address*:  City*:
State*:  Zip Code*:
Home Phone*:  Cell Phone:
Email Address*:   SS#* (Last 4#s)***-**- 
 
Gender: Male  Female
Referred By: 
Marital Status: Married  Single  Widowed
If you are a widow and have remarried, please give full name of deceased spouse: (deceased officer)
I am presently enrolled in the D.R.O.P. program. Yes  No
 
Suggested membership is $100, ($75 yearly dues and a voluntary contribution of $25 or more can be made to the PAC (Political Action Committee fund), for a total of $100 or more. Yearly membership will be renewable annually and a reminder will be mailed to you prior to that date each year.
Add $40 for the TMPA Legal Defense Fund for those who want to carry TMPA provided insurance for firearms coverage.

Members are required to be receiving a retirement benefit from the Houston Police Officers Pension System, City of Houston, "(for prior City Marshalls, Airport and Park Police Officers)" or presently enrolled in HPD D.R.O.P and hereby apply for membership in the HOUSTON POLICE RETIRED OFFICERS ASSOCIATION (HPROA).
 
Please fill in amounts:
 
Annual Dues $75.00
PAC Donation $ ($25  Suggested Amount)
TMPA Legal Defense Fund  Yes No (If Yes $40 Fee) 
Total Amount $
 

Please give us your credit card information for payment, or print form and send payment to the address shown at top of form

NOTE:  MEMBERSHIP APPLICATIONS ARE SUBMITTED TO THE BOARD OF DIRECTORS ON THE SECOND THURSDAY OF EACH MONTH.
Once approved, you will receive your membership package. Please allow 3-4 Weeks total from date the application was submitted

Credit Card Information (all fields required)
Card Type

Cardholder's First Name

Cardholder's Last Name

Credit Card Number

Exp Date
(e.g.: 05/2019)
Security Code

 

Cardholder's Billing Street Address

Billing City

Billing State
(2-digit state code)
Billing Zip Code

Billing Country
(2-digit country code)


NOTE: Your application has not been completed until you click the SUBMIT button at the bottom of this page. 
If you do not receive a reply from the HPROA Office within ten days, please contact us (713) 802-2967