Individual Membership

To apply for Individual Membership please fill out the form and submit. We will contact you once we have received and processed your application.

Applicant Information
Individual First Name
Individual Last Name
Title
Fire Department/District
Preferred Mailing Address
City
State	Select A StateArizonaIdahoMissouriNew YorkOregonWashington
Zip
Phone
Fax
Email
Payment Method (Annual Dues: $85)
Check
Bill Visa/Mastercard
Bill Association-Purchase Order #      Agency Address
To help us server you better please answer the following questions about your department.
Approx. Number of Volunteer Staff
Approx. Number of Career Staff
Resident Population Served: Less than 10,000 100,000 - 199,999 10,000 - 49,999 More than 200,000 50,000 - 99,999