Latino Officers Association Florida Membership Application form 2008. www.loafla.org   P.O. Box 44-0581 Miami, Fl 33144 305.785.6740 The mission of the L.O.A is to promote tolerance toward the understanding of the Latino culture in the law enforcement community and create a strong bond between the Latino community and agencies across Florida. It also aggressively seeks to increase the number of Latino Officers in Florida. Once a member always a member... Sworn: $40.00 one year (  )  $75.00 two years (  ) Civilian: $30.00 one year (  )  $55.00 two years (  )     Enclosed is my membership dues (  ) Please bill me my membership dues. (  )   Name:____________________________________________ Date:____________ Address:_______________________________________________________________ Phone:_____________________ Cell:___________________e-mail:_____________________ Agency:______________________________   Rank:_________________________ Shield # :_________ Years of service______ D.O.B._________Religion:___________ Failure in compliance with the mission statement may result in removal of membership Signature:_____________________________________________________________________ New member (   )                                       Renewal (   )   In God We Trust For official uses only Form number 08-01 online application ______________________________________________________________________________