Florida State Firefighter's Association
Membership Information & Application
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Active membership in the Florida Firefighter's Association is open to any member of any career or volunteer 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
(Please Print)

(Return Application To)
Florida State Firefighter's Association
2450 US 27 South
Avon Park, FL 33825

I certify that I am a member of the below fire department and hereby apply for membership in this Association for the year ______

I am: ___ New Member ___ Renewing My Membership

___ Active $25.00 ___ Retired $15.00 ___ Associate $30.00 ___ Disabled $25.00

Department ___________________________

Name ___________________________________________

Address _________________________________________

City____________________ State_______ Zip _________

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

FOR OFFICE USE ONLY:

Member# _________     Renewal date __________     District _____    Check#_____


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