FOP Florida Labor Council
242 Office Plaza
Tallahassee, FL 32301
888-485-0351
Add/Drop Form (revised 08/02)
FLC Received
Lodge
Number
Last Name
First Name
Add
Reinstate
Lapsed
First Month Dues Paid
First Month Dues Paid
Last Month Dues Paid
Name Change (to)
Office Use Only
Member not found
Billing (added)
/
Last Name
First Name
Add
Reinstate
Lapsed
First Month Dues Paid
First Month Dues Paid
Last Month Dues Paid
Name Change (to)
Office Use Only
Member not found
Billing (added)
/
Last Name
First Name
Add
Reinstate
Lapsed
First Month Dues Paid
First Month Dues Paid
Last Month Dues Paid
Name Change (to)
Office Use Only
Member not found
Billing (added)
/
Representation Desired
Member
Name
Drop
MI.
Legal
Legal & Labor
$13
$20
New Card #
Old Card #
Database (entered)
/
/
/
Lodge
Number
Last Month Dues Paid
Representation Desired
Member
Name
Drop
MI.
Legal
Legal & Labor
$13
$20
New Card #
Old Card #
Database
(entered)
/
/
/
Lodge
Number
Last Month Dues Paid
Representation Desired
Member
Name
Drop
Last Month Dues Paid
MI.
Legal
Legal & Labor
$13
$20
New Card #
Old Card #
Database
(entered)
/
/
/
Lodge
Number
/
Member
Name
Drop
Last Month Dues Paid
/
Last Name
First Name
Add
Reinstate
Lapsed
First Month Dues Paid
First Month Dues Paid
Last Month Dues Paid
MI.
Representation Desired
Legal
Legal & Labor
$13
Name Change (to)
Office Use Only
Member not found
Billing (added)
New Card #
/
Lodge
Number
Last Name
/
/
First Name
Add
Reinstate
Lapsed
First Month Dues Paid
First Month Dues Paid
Last Month Dues Paid
Name Change (to)
D:\81895055.doc
Database (entered)
Member
Name
Drop
Last Month Dues Paid
/
$20
Old Card #
Office Use Only
Member not found
Billing (added)
/
Representation Desired
Legal
Legal & Labor
$13
$20
New Card #
Old Card #
Database (entered)
/
/
/