Pacific Northwest Chapter of SPAAMFAA - Membership Application

Application Date:

MonthDayYear
DateHourMinutesAM/PM Option
Name:*

First NameLast Name
Organization Name:
E-mail*
please enter your valid email address
Cell Phone:
Home Phone:
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Ok to share my contact info with other club members?*

YESNO
Are you a current member of national SPAAMFAA?*

YESNO
Description of Fire Apparatus currently Owned: (Ownership is NOT a condition of membership!)
Year - Chassis - Body - Type - Pump/Ladder - Other details
Send us a photo! Totally optional

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Where did you hear about us?

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Membership Rules
::::::Rules go here::::: bottom line: Be Nice. Have Fun.

I have read, understood, and accepted the rules for membership.
:::::::::: PRIVACY POLICY GOES HERE ::::::::::::::

I have read, understood, and accepted the PRIVACY POLICY for membership.
Indicate Membership Type*

Individual / Family Membership - $30 per yearOrganization Membership - $50 per year
Order a PNW SPAAMFAA Logo Baseball Style Cap
ENTER QTY of Caps @ $21 ea plus $6 shipping
Cap $ Total Amt
Cap Shipping
Logo Cap Total w/Shipping
Confirm Payment Amount $USD
Select a payment option below, complete payment process, then press SUBMIT 

- OR - If you prefer NOT to pay online, click on the "Print Application" button below to print your application and then mail it with a check payable to: PNW SPAAMFWW, c/o Bryan Joyce, Treasurer, PO Box 575, Newberg, OR 97132 - Any questions or issues with this application form can be emailed to: PNWSPAAMFAA@gmail.com
Total Amount $

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Membership Rules