Membership Application PoLEPFoR Membership Registration Please complete this Application for Membership form as fully as possible. Name(required) Email(required) Address Suburb/Town/City(required) State(required) Country(required) Phone Rotary Club (*) Please record details of your Policing or Law Enforcement Service Enter area of service e..g. Police, Customs, Military Police, etc (*) Name of Agency (*) Status Rank Currently Working (Working, Retired, Resigned) Contact Us Δ