PROFESSIONAL FIREFIGHTERS ASSOCIATION OF MISSISSIPPI APPLICATION FOR SPECIALTY TAG
First Name:
Last Name:
Mailing Address:
City:
Zip Code:
Physical Address:
City:
Zip Code:
Phone Number:
E-Mail Address:
Career Fire Department:
County of Residence:
Date:
Signature:
	Enter the text shown in the image above.

PLEASE NOTE:

Only PROFAM approved sticker may be used on license plate.

Firefighter’s name must be on title of vehicle.  One application per tag, $31.00 per year, per specialty tag.

Letter of approval will be sent to applicant upon receipt of application.

Letter of approval must be taken to County Tag Office for payment and order.