AFIRE New Membership Application or Renewal

 

 

 

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     Membership Types:  Individual $5.00   Friend $10.00  

                                     Family  $25.00  Corporate $ 100.00

AFIRE is a 501(c)3 Tax exempt organization.

 

 



                 Please provide the following information:

Type of Membership
Name
Title
Organization
Street Address
City, State, Zip Code
Work Phone
Home Phone
E-mail
Would you like to be notified of quarterly meetings?  Yes  
 


Please send your membership fee with printed application form to:

A.F.I.R.E  Po Box 6635  Clearwater, FL 33758

 

 

Revised: February 08, 2008