MAFPD Membership
Missouri Association of Fire Protection District membership form
Fire District Name *
Mailing Address *
City *
Zip *
Fire District Email *
Type of MAFPD Memberships
Membership *
Does your Fire District have a sale Tax? *
Fee Structure
Amount Due *
The amount of your dues, which you need to return with this form, is shown on the chart on the previous page. If you have a sales tax, remember to add the sales tax surcharge of $300 to the total due.
Fire Chief Name *
Fire Chief Email address *
Fire Chief Cell Number
Board President Name *
Board President Email Address
Board President Cell Number
Board Member Name *
Board Member Email Address
Board Member Name
Board Member Email Address
Board Member Name
Board Member Email Address
Board Member Name
Board Member Email Address
Fire District Attorney Name
Attorney Email Address
Attorney Cell Number
Do you have any suggestions for topics to be covered at our annual conference, or in our educational programs? If so, please describe below
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