Membership Application Form

Hall of Flame Membership Application Form

Print this form and either mail it or fax it with your check or credit card information to the Hall of Flame at:

6101 East Van Buren St., Phoenix, AZ 85008 Fax: (602) 275-0896

Or join over the phone by calling us at (602) 275-3473

Don't forget to underline or circle your premium selection(s)! Please make all checks payable to the Hall of Flame Museum of Firefighting.

Membership Form

YES, I've reviewed the membership categories. Please begin my membership as a (an):

q $25 Associate	q $35 Family	q $60 Black Helmet Brigade
q $60 Fire Professional	q $100 Red Helmet Brigade	q $250 White Helmet Brigade
q $500 Contributing	q $750 Sponsor	q $1,000 Benefactor

This entitles me to a complimentary copy of the Hall of Flame's Guide to Exhibits, a subscription to the Quarterly Newsletter, a 10% discount on all store sales, and many other benefits.

q Payment by check. Amount: $ __________________

q Payment by Credit Card. Please bill my q Visa q MasterCard q American Express

Account No.: Expiration Date:

Signature:

Name (please print):

Day Phone: eMail Address:

Street: City:

State/Province: Zip: Nation:

Special Premiums

We are pleased to offer these premiums in appreciation for your membership renewal

Associate Membership Circle one:

1. Professionally made 10 minute DVD about the exhibits at the Hall of Flame.

2. Dalmation Key Chain

3. American Flag lapel pin

4. Arm Patch from: (Circle one patch) Denver, Las Vegas, FDNY, Hall of Flame, LA County, Chicago.

Family Membership: Circle two:

1. Dalmation key chain

2. 10 minute DVD of the Exhibits at the Hall of Flame

3. Arthur's Fire Drill Sticker Book.

4. Arm Patch from: (Circle one patch) Denver, Las Vegas, Hall of Flame, FDNY, LA County, Chicago.)

5. American Flag Lapel Pin

6. Red Hall of Flame Kid's T (XS, S, M, L)

7. Navy Blue Phoenix FD Kid's T (XS, S, M, L)

Black Helmet or Fire Professional Level: Circle two choices.

1. IAFF T-Shirt (Med, Large, XL,XXL)

2. Phoenix FD T Shirt (Med, Large, XL, XXL)

3. Hall of Flame Navy Blue T-Shirt (Med, Large, XL, XXL)

4. Phoenix FD Light Green T- Shirt (Med, Large, XL, XXL)

5. Navy Blue Phoenix FD Kid's T (XS, S, M, L)

6. Red Hall of Flame Kid's T (XS, S, M, L)

Red Helmet Level:

Circle three of the Black Helmet / Fire Professional premiums.

White Helmet Level:

All of the Black Helmet premiums plus a Hall of Flame golf shirt (L, XL, XXL), (grey, red, black).

Arthur's Fire Drill Sticker Book

   Dalmation Key Chain

Flag Lapel Pin
FDNY Arm Patch Denver FD Arm Patch Hall of Flame Arm Patch

Las Vegas Arm Patch LA County FD Arm Patch Chicago FD Arm Patch Navy Blue Phoenix FD T Front
Navy Blue
IAFF T
Front
Navy Blue Phoenix FD Kid's T         Back

Red Kid's T Front Navy Blue Hall of Flame T Front Light Green Phoenix FD Front Navy Blue Phoenix FD T Back Navy Blue IAFF T Back Navy Blue Phoenix FD Kid's T Front

Red Kid's T
Back Navy Blue Hall of Flame T Back Light Green Phoenix FD Back

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