New York State Association of Fire & Lifesafety Educators Membership Application
Zip Code: ____________
Affiliation: ( Please check all that apply)
Firefighter ___ Educator ___ EMS ___ Fire Administrator ___ Sponsor
fire company name: _________________________________________________
Membership level: ___ Individual Active
Persons eligible to become active members are individuals who
have an interest in fire and life safety education and are willing to fulfill the objectives and purposes of the association.
MEMBER: Those eligible to become sustaining members
are individuals, firms, corporations, institutions, societies, associations, board, bureaus, or commissions wishing to assist
in attaining the objectives of the association.
Emergency service organizations are eligible to become organizational
members. Each organizational membership is entitled to have 5 active members listed on the association mailing list.
Mail will be sent to all 5 members.
For organizational memberships, please fill out an application for each member to be listed under the organizational
membership. Please enclose a check for the appropriate amount and send to the address below.