All payments will be processed by:

Kansas State Lodge Fraternal Order of Police
P.O Box 3424
Kansas City, Kansas 66103

ATTENTION AOL USERS: DUE TO A RESTRICTION IMPOSED BY AOL, USERS CONNECTING WITH THAT SERVICE ARE PROHIBITED FROM TRANSMITTING THIS INFORMATION. YOU CAN COMPLETE THE FORM BUT THE RESULTS ARE NEVER E-MAILED. THEY ARE STRIPPED OUT BY AOL.

Online Check Payment Form

Name: 

E-Mail: 

Lodge Name and Number: 

Lodge Mailing Address: 

City, State, Zip: 

, 

Comments: 

Payment Type

 Online Check 

Online CHECK Info  
Please use the check at the right 
to complete the information below.

 
*The sets of numbers are not always in this order*

Name On Check

("A" from above)

Address on Check:

("A" from  above)

Bank Name:

("B" from above)

Bank City & State:

("C" from above)

Check Number:

("D" from above)

A.B.A. Fraction:

("E" from above)

Routing Number (9 Digits):

("F" from above)

Account Number:

("G" from above)

All Numbers From 
Bottom of Check:  
(see instructions to right) 
When finished, this box will contain all 
the sysmbols and numbers from the bottom of your check.


Amount of Check:

By submitting this form, you are giving The Kansas State Lodge Fraternal Order of Police permission to draft a check on the checking account you are submitting, in the amount listed above. 
This will be submitted to the State Secretary by E-mail 
PLEASE CLICK SUBMIT ONLY ONCE
CLICK RESET AFTER SUBMISSION TO CLEAR THIS FORM. YOU CAN THEN COMPLETE INFORMATION FOR ANOTHER CHECK OR GO TO ANOTHER PAGE.

 

When you use this form, the information is sent via E-mail to the State Secretary instantly. He will take that information, and print out a check. Your check is logged in and then mailed to either the Grand Lodge or the State Treasurer. Nothing could be easier. This is a safe method to make a payment online. No information is stored on-line.