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 - $500.00

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
Phone - 208-765-1714; 800-GRN-TREE; Email - fflamembership@yahoo.com

FFLA encourages the use of PayPal. It's the safe, easy way to pay online.

(https://www.paypal.com) Payable to: 


Or pay 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We do not publish or sell our membership list, but we will share contact information with fellow chapter or state members when requested unless instructed otherwise.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. 3/21/10

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