LBPOA

Register For a New LBPOA Membership
First Name:
Last Name:
Address:
City:
State:
Zipcode:
Phone:	Example:) 315-555-5555
Email:	If you use a SPAM filter, it is your responsibility to add LBPOA's Webmaster@LBPOA.com email to your list. If you do not, you will not receive a response from LBPOA, including Newsletter and Bulletins, nor be able to update data or retrieve Lost Password/Username info. You are responsible for updating your new email.
Company Name:
Rank / Title:
Assignment:
Division:
DID/Photo#:	This will be your Username, and what the system will know you by.
Password:	This will be your LBPOA Password. A random password has been generated for you. You can use it or type in a password you would like better.
Newsletter:	Do you want to receive the LBPOA newsletter? Only Members who check the box receive LBPOA bulletins and notifications. If you do not check the box you will be unable to receive Lost Passwords or email from LBPOA.
	Type the NUMBERS shown in image for Verification.
Completing this Form is only one step toward LBPOA Membership. If you forget your LBPOA Password the system can Email it to the Email account that you have on file.