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Firefighters Emerald Society of Southeast Georgia

Membership Application

 

Date:
First Name:
Last Name:
Address Street 1:
Address Street 2:
City
State:
Zip:
Daytime Phone:
Evening Phone:
Work Phone::
Email:
Department:
Date Hired:
Rank:
Check only one of the following:
Active: Current or retired firefigher of Gaelic decent
Associate: Current or retired firefighter of descent other than Gaelic or civilian of Gaelic descent:
Honorary: To be determined by the Executive Board:
Auxiliary: Are civilians of non-Gaelic descent:

 

        I, the undersigned do hereby apply for membership in the Fire Emerald Society

        of Southeast Georgia.  Further, I proclaim to be of good character and a law abiding

        citizen of the United States of America.  The Board of Directors may request from

        the applicant verification concerning the type of membership. 
 

 

 

Membership Dues: $30 Annually (One time initiation fee of
$10)
Please make checks payable to the Firefighters Emerald
Society of Southeast Georgia or F.E.S.

All memberships will renew each January.

 


Send Membership Dues to: 

Firefighter Emerald Society of Southeast Georgia

159 Parkview Rd.

Savannah Ga. 31419 

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