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EMERALD SOCIETY  

          "FIREFIGHTERS OF WASHINGTON"

 

6/1/2007                                                  MEMBERSHIP APPLICATION

 

EXPIRATION DATE 3/17/20                                                                                             3 YEARS = $35

 

NAME________________________________________________________________DATE_________________________

 

ADDRESS___________________________________________________________________________________________

 

CITY___________________________________________STATE________ZIP+4____________________-__________

 

PHONE (Home) (_____)______________________________(Work)  (______)________________________________

 

SPOUSE'S NAME______________________________________________ ACTIVE         RETIRED         ASSOCIATE

 

E-MAIL ADDRESS_____________________________________________________

 

DIVISION____________COMPANY / STATION___________________PLATOON___________RANK____________

 

D.C.      NAT      NDW      PG     CHARLES      MONT      AA      HOWARD      ARL      ALEX      FAIRFAX    

STAFFORD      FT MYER      FT BELVOIR      FT MEADE      FALLS CHURCH      NAS-PAX RIVER      NIH     

 

OTHER FD________________________________________DATE RETIRED__________________________________

 

IF NOT DCFD:       FRIEND OF_______________________________________________________________________

 

Please mail $35 check & application to:

 

Emerald Society Membership

Douglas W. Wheeler

811 Kentucky Ave. SE

Washington DC 20003-3115

Doug@dcfireman.com

202-276-5081