Ohio Patrolmen's Benevolent Association
OPBA Promotion Information Sheet

You are eligible to receive a promotional plaque and money clip at no charge to you. Please complete the areas below.

First Name:

Middle Initial:

Last Name:

Mailing Address:

Phone Number:

Email: 

Position Promoted To:

Department:

Promotion Date:

Do you want to remain an OPBA member?


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  • Ohio Patrolmen's Benevolent Association

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