STEP# 1
Membership Application/Renewal Form
Active membership in the Florida Firefighter's
Association is open to any member of any career or volunteer fire
department, in the State of Florida. Associate Membership is open to
non firefighters or out of state firefighters. For more information
on membership see the Association By Laws .
APPLICATION FOR MEMBERSHIP
I hereby apply for membership in this Association
for the year ______
I am:
Select One ..............
New Member
Renewing My Current Membership
Membership Status:
Select One ..............
Active - $25.00
Retired - $15.00
Associate - $25.00
Disabled - $25.00
Name:
Address:
City:
State:
Select One ..
FL
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip:
Email Address: (Used for updates and drawings)
Fill out the following section when applying for
active membership.
I certify that I am a member of the below fire
department: