Date: ___________________________
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I, the undersigned, hereby make application for membership in the Morris County Fire Chiefs' Association and if elected, agree to abide by and conform to the Constitution and By-Laws of the Association.
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| STREET ADDRESS: |
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| TOWN: |
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ZIP-CODE: |
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| COMPANY SERVED: |
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| MUNICIPALITY: |
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| YEARS AS CHIEF: FROM TO |
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| SIGNATURE OF APPLICANT: |
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Application may be submitted to any member and should include $2.00 for the entrance fee and $5.00 for the first year's dues. Make check payable to M.C. Fire Chiefs' Association.
COMMITTEE:
President_____________________________
Vice-President_________________________
Secretary_____________________________
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William A. Egbert, Secretary
25 Little Lane
Wharton, NJ 07885
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