Join FireMed+AMCN

Join FireMed (Central Douglas County excluding Winston)

FireMed is $75 / FireMed + AMCN - REACH is $168
Renewals

Check here if you are renewing your membership
Membership Number
Click here to view the Terms of Service
Terms of Service*

By applying for membership, I agree to FIREMED Terms of Service and/or AMCN Terms and Conditions, I acknowledge that FIREMED is not insurance, and I understand this membership is non-refundable and non-transferable.
I live in the Central Douglas County Area served by CDF+R Authority FireMed*

Yes (Roseburg, Sutherlin, Oakland, Glide, Myrtle Creek, Canyonville, Tiller)No (You must live in the service area to join FireMed. Please contact your local Fire Department to find your FireMed Agency)
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Address*

Street Address

Street Address Line 2

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Zip Code
Mailing Address (If different)

Street Address

Street Address Line 2

CityState

Zip Code
Head of Household*

First NameMiddle NameLast Name
HOH DOB*

MonthDayYear
Household Member 1

First NameMiddle NameLast Name
Member 1 DOB

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Household Member 2

First NameMiddle NameLast Name
Member 2 DOB

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Household Member 3

First NameMiddle NameLast Name
Member 3 DOB

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Household Member 4

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Member 4 DOB

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Household Member 5

First NameMiddle NameLast Name
Member 5 DOB

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Household Member 6

First NameMiddle NameLast Name
Member 6 DOB

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1 Year FireMed Membership (July 2025 - June 2026)$75.00

1 Year FireMed & AMCN Membership (July 2025 - June 2026)$168.00
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Join FireMed (Central Douglas County excluding Winston)