Membership Application
_____
Regular Member ($30.00) The Fire Marshal or member of the Fire Prevention
Bureau of
any public or private Fire Department within the State of Utah.
_____ Associate Member ($30.00) Any other person who does not qualify as a regular member.
Name _________________________________________________________________________
Title _______________________________ Organization _______________________________
Address _______________________________________________________________________
City _________________________________ State ________________ Zip _________________
Telephone #______ - ______ - _______ email address ___________________________________
Fax # ______ - ______ - ______
Submit application and fees to:
Dave
Berg |