Pennsylvania Pump Primers Association
APPLICATION FOR MEMBERSHIP
Please consider me for membership in the Pennsylvania Pump Primers Association.





NAME______________________________________________________________________

ADDRESS__________________________________________________________________

CITY________________________STATE______________ZIP________________________

PHONE(HOME)________________________PHONE(WORK)________________________

APPARATUS OWNED_________________________________________________________

___________________________________________________________________________

OTHER FIRE-RELATED INTERESTS____________________________________________

___________________________________________________________________________

ARE YOU A SPAAMFAA MEMBER_______WOULD YOU LIKE INFO?_________________

You do not need to own apparatus to enjoy membership in the Pennsylvania Pump Primers Association.

Please print this form and mail with your check or money order for $13.00 ($8.00 dues + $5.00 initiation) to Membership Committee, Pennsylvania Pump Primers Association, PO Box 3785, Harrisburg, PA 17105-3785.  Thank you for your interest in the Penna. Pump Primers!