APPLICATION FOR MEMBERSHIP TO

THE SOUTHEASTERN FIREFIGHTERS MUSTER ASSOCIATION

[    ]      Yes, we would like to join the Southeastern Muster Association and agree to pay the annual dues of $25.00 per team. 

We promise to abide by the rules and regulations and compete in a good sportsmanship spirit and to conduct ourselves in a manner that would be a positive reflection upon the members of the Southeastern Muster Association and the fire service in general. 

Dept./Distr./Org.

Name:                         ______________________________________________________

Contact Person:         ______________________________________________________

Mailing Address:       ______________________________________________________

City:     ______________________      State:  ______      Zip: ___________

Phone: (home) (     ) ________________  (work) (    ) _________________

      ( fax )   (     )_________________   (e-mail)______________________  

We agree to all the above mentioned in this application for membership.

Signature:                   ______________________________________________________

Make check payable to the Georgia  Muster Association 

Mail to: Jack  Sorrells
             6031 Meridian Drive.
             Acworth, GA. 30101