Professional Firefighters Association of Mississippi
 

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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.
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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Professional Firefighters Association of Mississippi


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