FAST TRACK MEMBER
REFERRAL PROGRAM
MEMBERSHIP IS FREE!
Your Copcircle.com web (URL) address
(If you are not sure what your web address is. Log
on to copcircle.com, click on "MY SITE," then
highlight the contents of the address window and
copy and paste it to this form.)
BY CHECKING BOX TO THE RIGHT I
CERTIFY THAT BELOW APPLICANT IS A
SWORN LAW ENFORCEMENT OFFICER
_____________________________________________________________________
Your Friend's E-Mail Address
Your Friend's First Name
Your Friend's Last Name
Your Friend's Officer ID or Badge Number
Use complete ID#. All letters and numbers.
Rank
Your Friend's
Department Name
Use full name. Do not use
acronyms or abbreviations
Your Friend's Precinct Name or
Name of Facility Assigned To
Required for large departments. Use full
name. Do not use Acronyms or Abbreviations
Your Friend's Department County
Your Friend's Department State
NOTICE: The information in this form is
kept strictly confidential. No one from
copcircle.com will ever ask you for your
address of residence, password or any
additional information not displayed on our
membership forms. The information
entered in this form will not be displayed on
your personal website unless you
purposely enter it into your profile. This
information is needed for verification of
your law enforcement status. It is our goal
to ensure members of copcircle.com  they
are interacting with other sworn law
enforcement officers. If you have any
questions or concerns about this form and
how the information is used please contact
us at info@copcircle.com.
Is Your Friend
Retired or Active
Note: If your friend is a retired officer,
enter the information valid on the last
day of service.  
_____________________________________________________________________
Would your friend like to receive periodic e-mails from
copcircle.com? E-mails will include discounts on products,
news alerts, and updated information about our website
services.
Yes, send my friend periodic e-mail
No, do not send e-mail
Comments
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