New Hampshire Fire Prevention Society
 

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Membership Application
Sample form below. You can edit this form and edit this text. The text will show up at the top of the form page, just as you see it now. You can edit the form using the buttons above.
 

Thank you for your interest in joining the NH Fire Prevention Society.

Please complete this membership application. 

Membership dues are $40.00 annually. Student memberships are free.

First name:
Last Name:
Email Address:
Phone Number:
Employer Name (optional):
Job Title or Rank:
Industry:
If "Other" was selected, please describe your industry:
Mailing Address:
Number or PO Box:
Street:
Suite or Unit:
City/Town:
State:
Zip:
Type of Membership:
If "Student Member" was selected, please provide your school name:
Membership Dues Payment Method:
Venmo information: @NHFPS (last 4 digits 9129) Please include your name and email address in the comment section.
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New Hampshire Fire Prevention Society
170 Court St
Portsmouth, NH 03801
 

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