Make your own free website on

New York State Association of Fire & Lifesafety Educators

Home | NY-SAFE Past Presidents | A Message from P/P and Secretary Lisa Shellman | From the Desk of Past President Tom Burns | A Message from President Bob Reed | A Message from Treasurer Rick Nemier | A Message from Membership Secretary Bob Reineke | A Message from Web Administrator | Newsletter Administrator | Central District Director - Steve Yaciuk | A Message from the Eastern District Director Frank Fiato | A Message from the North Eastern District Director Tim Thomas | A Message from the Southern District Director / Vacant at this time | A Message from the Southeastern District Director Vacant | A Message from the Hudson Valley District Director Rich Frasco | A Message from the Western District Director Al Hornung | A message from Vice President Rich Frasco | A Message from the West Central District Director Jerry Wheeler | Next NY-SAFE Association meeting | Annual Meeting Minutes of the Association | Current Events | Regional Meeting Minutes | About us | NY-SAFE Districts & Directors | 2017 - 18 Officers and Directors | Contact Us | Calendar of Events | Members Page | Membership information | Application | EDITH information | Links | Sponsors

New York State Association of Fire & Lifesafety Educators Membership Application

                                                       ___ New                                       ___  Renewal

Name: _______________________________         

Address: _________________________________               City: ___________________

State: ___________                Zip Code: ____________

e-mail: _________________________________________

Affiliation: ( Please check all that apply)

          ___ Firefighter        ___  Educator        ___  EMS        ___  Fire Administrator       ___ Sponsor

Affiliation fire company name: _________________________________________________


Membership level:        ___ Individual Active                                                   $10.00

                                          ___ Sustaining / Organizational                               $50.00 

  • ACTIVE MEMBER: 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.
  • SUSTAINING 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.
  • ORGANIZATIONAL MEMBERS: 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.

     Signature_______________________________                   Date___________________


    please print, fill out and mail this page with the appropriate check amount, made payable to NYSAFE to


    NYSAFE, 102 Merideth Ave, Nedrow, NY 13120

     EDUCATORS. All Rights Reserved.