| 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We do
not publish or sell our membership list, but we will share contact information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 __ |