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Annual Membership - $40.00 (This form is for on-line payments only)
I hereby make application for Active membership to the Northwest Fire Investigation Association, Inc., in accordance with their Constitution and By-Laws, and agree to be bound therewith. All information given by me is warranted to be true. (You Shall be Public Officer to join)
Name (last, first, m.i.) Title/Position Home Address Date of Birth City State/Province Zip/Postal Code Country Home Telephone E-mail Address:
Employer Supervisor Business Address City State/Province Zip/Postal Code Country Business Telephone FAX Occupational Affiliation Law Enforcement Fire Service Choose One Primary Duty Firefighter Fire Officer Fire-Arson Investigator Deputy/Police Prosecutor Choose One Shall be Public Officer Have you ever been convicted of a crime? Yes No Check Yes or No If yes, explain offense and date/location of conviction: Note: a yes answer may affect your acceptance as a member of the Northwest Fire Investigators Association.
Are you interested in serving on an NWFI Committee Yes No Check Yes or No Are you interested in delivering NWFI training Yes No Check Yes or No Are you a Certified Fire Investigator Yes No Check Yes or No Certified with:
References: (References must be a member in good standing of the chapter/International) A. Name address Int’l ID# telephone
B. Current Member's Name address Int’l ID# telephone
Mail correspondence to: Home Business Choose One
After you click Submit, you will be brought to Pay Pal so that you can pay your membership application fee. After you have made your payment, you will be returned to our web site.