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Registration Form: Owners Name ____________________________________________ Contact Name (if different):___________________________________ Address _________________________________________________ City _______________________ e-mail: _______________________ State _______________Zip ___________Telephone _____________ Insurance Info: Carrier_________________Policy #________________ The fire apparatus that I am entering will be in sound mechanical condition, road worthy as required by the state in which it is registered. Each vehicle must carry public liability and property damage insurance and the owner must provide the insurance company name and the policy number. I agree to hold the D.C. Fire Fighters Association, Local 36, and the Armed Forces Retirement Home blameless for any liabilities, which I incur. Registration Fee: $15.00 if registration is received by Sept. 1st. $20.00 day of muster Make checks payable to: D.C. Fire Fighters Assoc. Send completed form to D.C. Fire Fighters Association. 2120 Bladensburg Road NE, Suite 210, Washington, D.C. 20018 E-mail Questions to: walter.e.webb@iafflocal36.com |