Please print all information
|
|
|
|
|
|
Home |
Executive Board |
News |
Events |
Fundraiser |
Photos |
Join |
Links |
Bylaws |
| JOIN ECFAAA |
|
Print this form using your browser's "Print" button |
|
New/Existing Member Information Please print all information |
|
Name: ___________________________________ CFPA Class Year: ________________ |
|
|
Address: _________________________________________________________________ |
|
|
City: ___________________ State: _______Zip: ____________ |
|
|
Home Phone #: _______________________ Work Phone #: ______________________ |
|
|
Cell Phone #: _________________________ Fax Phone #: _______________________ |
|
|
E-Mail Address: ___________________________________________________________ |
|
|
Birth Date (mm/dd): _______________________________________________________ |
|
|
Family Information (spouse, children, parents etc.): |
|
|
________________________________________________________________________ |
|
|
________________________________________________________________________ |
|
|
What would you like see our membership accomplish? |
|
|
________________________________________________________________________ |
|
|
________________________________________________________________________ |
|
|
Are you interested in being a committee member and/or elected officer? What areas/offices might interest you? |
|
|
________________________________________________________________________ |
|
|
________________________________________________________________________ |
|
|
If the Fire Department needed to contact you to assist with a major incident, does
ECFAAA have your permission to call at any hour? YES NO |
|
|
Does ECFAAA have your permission to publish your your personal information in the ECFAAA directory? YES NO |
|
ECFAAA Annual Membership Fee is $20 - January 1 thru December 31. |
|
|
All ECFAAA memberships expire on December 31 each year requiring renewal
in January for the following year. Membership fees are non-refundable. Your ECFAAA membership will begin from the date of
receipt of your funds. Your ECFAAA membership information will be mailed to you upon receipt of your
check/money order. Your check/money order must be payable in U.S. dollars to Euless Citizens Fire
Academy Alumni Association. Do not send cash! |
|
|---|---|
|
Renewal of my existing/expired ECFAAA membership |
|
|
Check#___________ Amount________________ |
|
|
Complete this form, make a copy for your records, and mail it with your payment to: ECFAAA 201 N Ector Drive, Bldg. D Euless, TX 76039 817-685-1600 |
|