INDIVIDUAL REGISTRATION

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2023-2024 Individual Membership REGISTRATION

Please make sure your email is correct.

* Indicates required field

FIRE DEPARTMENT NAME *

FIRST NAME *

LAST NAME *

Email *

Choose One *

I AM THE CHIEF ENROLLING THE DEPARTMENT AS GENERAL MEMBERS I AM AN OKLAHOMA VOLUNTEER FIREFIGHTER

Address *

Line 1

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State

Zip Code

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Phone Number *

Please use the drop down arrow to select your VFAO district. *

Membership choose one *

Level 1- Free Level 2- $25.00 Level 3- $50.00 Level 3 and Insured Spouse- $65.00 Level 3 and Insured Dependent Child-$55.00 Level 3 and Insured Family-$75.00

Payment options choose *

Purchase order Credit Card/ Paypal Mailed check Paid Cash at VFAO event No payment due

If the purchase order, check, or credit card is in a name other than the fire department or firefighter, please type the name holder of the issuing credit card, purchase order or check used for payment. *

Submit

After you have clicked submit you will be redirected to the store page to pay with your credit card or if you chose a level other than free.

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Volunteer Firefighters Association of Oklahoma
Attn: Buddy Myers
227 N 3rd
Chickasha, Oklahoma 73018

2023-2024 Individual Membership REGISTRATION

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vfao

AN ORGANIZATION BY VOLUNTEERS FOR VOLUNTEERS