"Agency" Annual Membership - $50.00 (For Individual Application, Click Here)
(This form is for on-line payments only)

I hereby make application for Active membership to the Northwest Fire Investigators Association, Inc., in accordance with their 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 Choose One Law Enforcement Fire Service Shall be Public Officer
Primary Duty Choose One Law Enforcement Fire Service Shall be Public Officer
Have you ever been convicted of a crime? Check Yes or No Yes No
If yes, explain offense and date/time 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 Check Yes or No Yes No
Are you interested in delivering NWFI training Check Yes or No Yes No
Are you a Certified Fire Investigator Check Yes or No Yes 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: Choose One Home Office

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.

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