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Membership Application

APPLICATION & INVOICE FOR MEMBERSHIP

NEW ENGLAND ASSOCIATION OF FIRE CHIEFS, INC.

OFFICE OF THE SECRETARY/TREASURER

PO  BOX 497, HINGHAM, MA 02043-0497

781-749-8626/Fax 8817/Email:NEAFC@aol.com

FEDERAL ID # 04-1660310 


Membership Classifications: Active, Associate, Life, Vendor

r ACTIVE:            Chief of Department, Full-time Fire Commissioners, Chiefs of Private and  Military Departments, State Fire Marshals, Fire Directors and (Honorary Life Retired Chiefs maybe subject to $10.00 mailing and postage fees)  Dues are $25.00.

r ASSOCIATE:     Retired Chiefs (who do not qualify for Honorary Life Membership), Deputy Chiefs, Asst. Chiefs, all Fire Department members, Municipal Officials and individuals representing firms interested in the protection of life and property by fire. Dues are  $25.00.

r LIFE:                  Individuals, firms and corporations interested in the protection of life and property against fire upon payment  of    $105.00.

rVENDOR:            Dues are $25.00

                                Annual Dues Prorated 50% after 12/01

MEMBERSHIP YEAR IS JUNE 1st to MAY 31st INCLUSIVE

Mail with dues to:     N.E.A.F.C. Inc.

PO Box 497

Hingham, MA 02043-0497

 

 

 

 DATE ________________________________________________20____

 

SPONSOR__________________________________________________________________________________________ 

(Must be signed by an Active Member or submitted with a Municipal /Dept. / corporate check)

 

Rank/Title                                              Name

 

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Department or Firm Name

 

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Address                                                                               City/Town                                   State   9  Digit Zip Code

 

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Home Address                                                                   City/Town                                State      9 Digit Zip Code        

 

TEL.#

 

 

E-mail Address: