Maryland Fire Chiefs

Membership Application Form

The Dues are $10.00 per year

Date :

Fire/EMS/Rescue Company Affiliation 

Address                Town:       Select State     Select One AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KA KY LA MA ME MD MI MN MS MO MT NE NC ND NH NJ NM NY NV OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY     Zip

Home Phone           Cell    Maryland County: Outside Maryland ALLEGANY ANNE ARUNDEL BALTIMORE BALTIMORE CITY CALVERT CARROLL CAROLINE CECIL CHARLES DORCHESTER FREDERICK GARRETT HARFORD HOWARD KENT MONTGOMERY PRINCE GEORGES QUEEN ANNES SOMERSET ST MARYS TALBOT WASHINGTON WICOMICO WORCESTER

Membership:      Active Member (Captain or Higher) Associate Member Life Member (Active MFCA for 10 Years) Honorary Member

Highest Rank :  

You will be given the option to Pay with Pay-Pal or your credit card  upon submission