Auxiliary Police Benevolent Association

   John Hyland
    President

Of The City of New York, Incorporated

267 Broadway, New York, NY  10007

(212) 608-2422      (212) 608-2555

2005 Procession Reply Form

Name/Title (Key Contact):
Agency: 
Mailing Address: 
City:  State:  Zip Code: 
Telephone (Day):  Telephone (Evening): 
Email Address: 
We  WILL  --  WILL NOT   (circle one)  participate in the 17th Annual Memorial Service on Sunday, 
April 17, 2005
, at The Lowenstein Center of Temple Emanu-El, located at Ten East 66th Street, 
New York City.   Please report to the Staging Officer at the Formation Site at 1230 Hours, 
East 64th Street, between Fifth and Madison Avenues,
where parking for department vehicles 
will be provided.

Please list the number of uniformed officers and vehicles expected to be part of your contingent:

OFFICERS: 

VEHICLES: 

Please return this entire form by March 31, 2005 to:


John W. Hyland, President
Auxiliary Police Benevolent Association
P.O. Box 649
Brewster, NY  10509

If you have any questions, please call us at 212-608-2422 or visit our website at WWW.nycapba.org