Kentucky Firefighters Association
Sustaining Membership Form
SSS2




Use the form below to become a Sustaining Member or renew your current Sustaining Membership.
 
A Sustaining Membership is $150 a year. The annual membership period is June 1, 2010 through May 31, 2011. To become a Sustaining member, please complete and mail the form below with a check payable to Kentucky Firefighters Association.
 
Send completed form and payment to:
Kentucky Firefighters Association
Special Events
385 Old Greensburg Road
Campbellsville, KY 42718
270-465-8633             
                                                                       
Sustaining Member Benefits
Homeland Security Conference State Fire School Registration Discount
Listed in Event Showbook (If received by April 30th)
Receive a CD of all Kentucky Fire Department s           
Listing on KFA Website
Receive Smoke Signals Newsletter
Listing in Smoke Signals       Newsletter
Listed in KFA Directory
Plaque
 
Company Name: _______________________________________________________________
 
Contact: ______________________________________________________________________
 
Address: _____________________________________________________________________
 
City: ______________________________________ State: __________   Zip: _____________
 
Phone: (______) _____________________ Fax: (______) ___________________________
 
Email: _______________________________________________________________________
 
For Office Use Only  
 
Date Paid ____________________________           Check # _______________________