| APPLICATION FOR MEMBERSHIP Please fill in - cut out - mail to: Putnam County Volunteer Firemen’s Association PO Box 668 Carmel NY. 10512 Attention Membership - plus $5.00 application fee. Fee includes Annual Installation dinner, subscription to the Blue Light (when requested) and participation in all meetings. Name:__________________________________________________________________________________ Fire Dept/Amb. Corp: _____________________________________________________________________ Home Address: __________________________________________________________________________ City___________________________________________________________/ ZIP.____________________ I certify that I am an active member of the above fire/ambulance corp. I will do my best to attend meetings of the association to the best of my ability. Approval will be made at the next association meeting. Signed:_________________________________________________ Date:______________________ Meetings are the last Monday of March, June, September and November. Installation dinner in May no fixed date |

