MFMA Application

METROPOLITAN FIRE MARSHALS ASSOCIATION MEMBERSHIP APPLICATION

Instruction: After completing the application you must press the submit button at the end of the form to complete the process. You will receive email confirmation once your application has been reviewed.

Membership Type

New Member Regular/Associate $25.00

Membership Renewal Regular/Associate $25.00

Membership Update Retired/Honorary

Agency or Organization Name (This will be publicly visible under Current Members)

Member Name (This will be publicly visible under Current Members)

Title (This will be publicly visible under Current Members)

Agency Address (This will be publicly visible under Current Members)

Home Address (Optional)

Published Phone (This will be publicly visible under Current Members)

Office Phone

Mobile Phone

Published Email (This will be publicly visible under Current Members)

ICC Member?

Yes

Signature

Use your mouse or finger to draw your signature above

Check # (If paying by credit card, type Credit in this field)

Comments

MAKE CHECKS PAYABLE TO: Metropolitan Fire Marshals Association
Mail Check to:
Fire Marshal Steven Welsh
c/o Hazelwood Fire Department
6800 Howdershell Rd
Hazelwood MO 63042

For Credit Card Payments, there will be a 3% processing fee

Contact: Betty Stoecklin
St. Louis County Fire Academy
314-889-8670