Mt. Adams PBA Membership Form
We're glad you're interested in becoming a member of the Mt. Adams PBA!
Please read through the Mt. Adams PBA before signing, below. Items of note include Membership Requirements on p.8 and Liability on p. 11.
Signature
Name
*
First Name
Last Name
Email
*
example@example.com
Organization you represent (if applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Would you like to be added to our PBA's Contractor List (posted to our website and shared with members)? If so, provide some details about your services & contact information below.
If you are representing an organization: would you like to fill out Appendix A - Specific Organization/Agency Requirements? (See last page of MOA.) If yes, we'll send this form to you separately.
What sort of experience, if any, do you have with prescribed fire?
*
Why are you interested in joining the Mt. Adams PBA?
*
Are you a landowner or land manager who is interested in exploring prescribed fire as a land stewardship tool? If so, head over to our website to request a visit from someone from our team: www.mtadamspba.org/request-a-consultation
Do you have other relevant experience you'd like to contribute to the PBA? (this could include public education or engagement, writing/storytelling, event planning, equipment operation, ecological monitoring etc.) If not, just write "n/a"
How did you hear about the Mt. Adams PBA?
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