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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:


Position Promoted To:


Promotion Date:

Ohio Patrolmen's Benevolent Association
10147 Royalton Rd Suite J
North Royalton, OH 44133

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