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  • Membership Application

    Professional Firefighters Association Of Mississippi
    3091 W Northside Drive
    Clinton, MS 39056
    Johnny Bass, President
    601.832.6233
    www.pffms.org


    Date:  *
    First Name:  *
    Last Name: *
    Address:  *
    City, State: ,  *
    Zip Code: - *
    Phone:  *
    E-Mail Address:  *

    Fire Department:  *
    Rank/Title: *

    Please choose one of the following divisions of membership:

    Delegate Member – Open to all active or retired firefighters from any chartered IAFF Local in Mississippi or members of the State IAFF Local.
    Please provide your IAFF Local #: 
    Cost: Free. You must show proof of current monthly dues payment.
    Associate Member – Open to all active or retired firefighters not affiliated with an IAFF local organization. Cost: $20/year. Note: An associate member is eligible to become a delegate member by joining the IAFF at the Local or State level.
    State Level IAFF Member - I wish to be a member of the Professional Firefighters Association and join the IAFF at the State level. I will submit my first month’s payment on the next screen and set up a bank draft with PROFAM. $25.00/month. This membership includes a $10,000 term life insurance policy.   
    Honorary or Life Member – I have been bestowed the distinguished honor by my brothers and sisters. Cost: Free

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