March 18th 2010

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join iconJoin The LEOFF I Coalition

The LEOFF I Coalition welcomes all retired and active members of the LEOFF I Retirement System
to be a part of the Coalition. To join, please fill out this form
and click the Submit button or print out and mail to: LEOFF I Coalition
PMB 127 • 855 Trosper RD SW STE 108 • Tumwater, WA 98512.

To remove yourself from the LEOFF I Coalition, please write a letter and mail to the address above.

Don't forget to visit our Contributions page after joining!

New Member
Your First Name:
Middle Initial:
Your Last Name:
Spouse Name:
Your Address:
Your City, State, Zip:
Your Phone Number (include area code)
Your E-Mail Address:
Retired? Yes
What Agency?
Please indicate which agency you currently work at or are retired from.
Sheriff's Office City Police Fire Agency     Other:
Please type the letters you see in the image. This is to prevent spam. It is case sensitive.
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