CopsWivesTM Application For Membership
Name of Applicant (please print):
I certify that this is my legal name, as shown on my driver's license or other state-issued identification card. I agree to abide by the rules of CopsWives(tm). I know that when rules change I have the right to follow the new rules or leave the group.
Applicant's Signature / E-mail Address / Date
Name of Applicant's Husband (please print):
I certify that this is my legal name, as shown on my driver's license or other state-issued identification card. I also certify that I am a police officer or some other form of law enforcement officer.
Applicant's Husband's Signature / Date
NOTARY STATEMENT: Before me, presented her valid driver's license or other state- issued identification card for proof of identity. Also before me, presented his valid driver's license or other state-issued identification card for proof of identity. He also presented proof of being a law enforcement officer. He presented his badge PLUS one of the following:
A badge alone is NOT proof!
State-issued peace officer "license" / identification card.
Police Department issued identification which states that he is a law enforcement officer.
SWORN TO AND SUBSCRIBED BEFORE ME this day of , 200__.
 Given under my hand and seal of office:
Signature of Notary Public
Mail completed application to: CopsWives, PO Box 251, Columbia, TN 38402. |
