NEW YORK 10-13 ASSOCIATION
BROOKLYN AND STATEN ISLAND, INC.

P.O. Box 225, Fort Tilden, New York, 11695
Telephone/Fax : (718)
615-9829
Dedicated to serving all N.Y.P.D. Retired and Active Members since 1990

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Membership Application and package

Please fill this application and click on the submit below.
Read instructions after submitting form!

New Applicant

Renewal  
Active
Retired
Associate Member
Vested
Service
Ord Disability
Pre. 1968
Accidental Disability
Full Name:
Date of Birth:
Address:
Apt.:
City:
State:
Zip
Home Phone:
Work Phone:
Cell Phone:
*E-mail Address:
Last Rank:
Last Cmd:
Date Appointed:
Date Retired:
New applicant, sponsored by:

Annual membership from January 1, thru December 31 of same year. Annual dues are $25.00 *If you want your membership package mailed to you, please add $ 1.50 for postage. (packages will not be mailed if postage is not included).
Make checks payable to Brooklyn/Staten Island 10-13 Inc. For information E-mail: ggorman@bsi1013.org 

Membership Package
All members will receive two 10-13 membership cards and one window decal.
Additionally member will receive a full color 8in.x 6in. Laminated *ID card.
If membership pkg. picked up at meeting $25.00 or $26.50 if mailed.
If you want your membership package mailed please add $1.50 to cover postage.

* Please note for control purposes, please send a photo copy of vehicle registration certificate for each vehicle registered to member, or bring certificate to the next general meeting. (ADDITIONAL ID CARDS WILL ONLY BE ISSUED TO THE MEMBERS NAME ONLY. ADDITIONAL CARDS ARE $5.00 EACH PLUS $1.50 FOR MAILING.) In no case will any member be issued more then (3) Member ID Cards. (Your Original Plus up to two additional) Note. The ID Cards are the Property of Brooklyn / Staten Island 10-13 Association Inc. and are to be used to identify a members at our meeting locations. Any Misuse of the Card could result in removal of the card.

**Due to the US Department of Homeland Security "High Alert" and elevated threat level in NYC, members vehicle ID cards will not be distributed to Non-Law Enforcement Personnel.
* NEW APPLICANTS MUST SEND PHOTO COPY OF POLICE ID ALONG WITH THE MAIL IN APPLICATION IF YOU WANT YOUR VEHICLE ID PLAQUE MAILED TO YOU. (Law Enforcement Personnel includes both Active & Retired M.O.S. as well as current Active members of the Bk-SI 10-13 Organization.)


**Due to the US Department of Homeland Security "High Alert" and elevated threat level in NYC, members vehicle ID cards will not be distributed to Non-Law Enforcement Personnel.
* NEW.APPLICANTS MUST SEND IN PHOTO COPY OF POLICE ID IF YOU WANT YOUR VEHICLE ID PLAQUE MAILED TO YOU. (Law Enforcement Personal includes both Active & Retired M.O.S. as well as current Active members of the Bk-SI 10-13 Organization).

 

 

NEW!

You can purchase our brand new

3 1/2 inch window decal.

$1.00 Each.

Please send a Stamped Self  Addressed Envelope to the address on top of this page.

 
   

Copyright 2002-2008

Last Updated:  08/19/2007  

Designed by Joseph A. Guagliardo