Forest Fire Lookout Membership Registration


Print this form, fill out and mail to the FFLA with the correct membership fee.
FOREST FIRE LOOKOUT ASSOCIATION MEMBERSHIP REGISTRATION

Name____________________________________________________________________

Address__________________________________________________________________

_________________________________________________________________________

Phone (____)________________________ e-mail address__________________________

New ________ Renewal ________

SPECIFY Which Chapter you want to belong to. (See "Chapters" page)_____________________

Annual membership includes quarterly issues of LOOKOUT NETWORK the newsletter of the FFLA.

1 Year - $15.00
2 Years - $30.00
3 Years - $45.00

You may also make a DONATION
_____________________________

 

"Plus" membership is available. "Plus" members will also receive quarterly issues of NATIONAL WOODLANDS magazine which includes updates on FFLA activities and news of the National Historic Lookout Register.

1 Year - $20.00
2 Years - $40.00
3 Years - $60.00
Lifetime - $750.00


Send this form with a check made out to the Forest Fire Lookout Assoc. to:
Forest Fire Lookout Association
2590 W. Versailles Dr.
Coeur d'Alene, ID 83815
208-765-1714
800-GRN-TREE
weblookout@imbris.net

Or by Credit Card

Card Number __________________________ Exp____

3-Digit Card Security ID (found on the back of your card) _____

Name on Card _________________________________

Signature _____________________________________

We do not publish or sell our membership list, but we will share contact information with fellow chapter or state members when requested unless instructed otherwise. No, I do not want to be contacted by fellow members __

Web Registration form. 7/23/07

Thank you for your interest in membership to the Forest Fire Lookout Association.