Associate Membership Application

Designed for any person who serves the citizens of South Carolina in a safety capacity that complements the mission of the Association as determined by either the staff or executive committee. The annual membership fee is $50. Associate members are allowed to participate in the insurance and benefits program. Once your application for membership is approved, you will be emailed an invoice for membership fees. Associate Membership Benefits flyer.

Application information

Name *

Telephone *

Email *

Date of birth *

Driver's license number *

Home address *

Street Address

Address Line 2

City

State

Zip Code

Mailing address (if different from home address)

Street Address

Address Line 2

City

State

Zip Code

Department or business name *

What is your role with this department or business? *

Department or business address *

Street Address

Address Line 2

City

State

Zip Code

Department or business telephone *

Letter from Fire Chief or supervisor *

Consent for storing submitted data *

Yes, I give permission to store and process my data

South Carolina
Firefighters' Association

111 Westpark Boulevard
P.O. Box 211725
Columbia, South Carolina 29210

Email: [email protected] Phone: 1.800.277.2732 Fax: 1.803.454.1801

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