Chesapeake Antique Fire Apparatus Association |
[__] Individuals 18 years or over $12.00 ( Additional $1.00 for Spouse ) [__] Three Year Membership - $35.00 [__] Current Member Renewing Membership. |
NAME___________________________________E-Mail:__________________________ ADDRESS: _______________________________________________________________ CITY:______________________________ STATE:_____________ ZIP:_____________ PHONE - (HOME) _____________________ (CELL)_____________________________ F.D. AFFILIATION, IF ANY: ________________________________________________ |
Antique Apparatus Registry If you own a piece of firefighting apparatus that is at least Year: ___________________ Make: ___________________________________________ Type: (Pumper, Aerial, etc..) _________________________________________________ Pump Size: _______________ G.P.M.: _____________ Tank Size: __________________ Mfg. Model _____________________________ Mfg. Serial # ______________________ Previous Owners and History of Rig: |
Please
Print This Page And Send Completed Application With Dues To: |