APPLICATION FOR REMA MEMBERSHIP
REMA membership is broken down into five catagories:

-  Emergency Service Unit/Special Operations/NYPD member (retired or active).
-  Gold Star: Family member of a Line of Duty Death Officer (dues exempt)
-  Silver Star: Age 75+ (dues exempt).
-  Law Enforcement Associate Member (non NYPD)
-  Honorary Associate Member (non law enforcement)

Complete this form and submit your yearly dues of $25, if applicable, one of the following ways:

Check or money order payable to:
REMA, mailed to: PO Box 7435. Wantagh, NY 11793

or 'electronically' via:
ZELLE: REMA@NYPDREMA.COM,

VENMO: @REMAESU (if asked for code use '6598') (use friends option) or

PayPal: REMAPP@NYPDREMA.COM (use friends option).

Sign in to Google to save your progress. Learn more
Membership Type *
Required
I will send my dues via: *
Required
Membership for the year(s) of . . . *
First Name *
Middle
Last Name *
House Number and Street *
City *
State *
Zip Code *
Email *
Cell Phone Number
Phone Number (secondary)
Rank
Shield Number
Appointment Date
Year Retired (if applicable)
ESU Assignments (with dates if possible)
ESU From - To
SOD/NYPD COMMAND (if not ESU)
GOLD STAR  Relationship
Law Enforcement Associate Member's Enforcement Agency or Department
Honorary Associate Member's Affiliation/Organization
Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms