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Fire Museum of Memphis Historical Society
( Memphis / Mid-South Chapter of SPAAMFAA* )

APPLICATION FOR MEMBERSHIP, MEMPHIS/MID-SOUTH CHAPTER
1. By-laws of this chapter DO NOT require that all members also be a member in good standing of the National SPAAMFAA organization. However, chapter members who are NOT members of the national SPAAMFAA organization cannot hold any office in the local SPAAMFAA chapter.

2. Local chapter dues for individual or family memberships is $20.00 per year, payable July 1st. Dues accepted from new members after January 1st will be $10.00. Local chapter dues shall be paid directly to the Treasurer, Ms. Carol Sheehan, 684 Hawthorne, Memphis, TN 38107.

3. The mailing address of the chapter is: Ms. Carol Sheehan, 684 Hawthorne, Memphis, TN 38107

PLEASE ANSWER THE FOLLOWING (PLEASE PRINT)

Name ____________________________________ Spouse ___________________________

Address _________________________________________________ Zip _______________

Home Phone ________________________ Day or Business Phone ______________

Cell Phone _________________________ Email _____________@____________________

IF FIRE APPARATUS IS OWNED, PLEASE PROVIDE THE FOLLOWING:

Make & Model ________________________________________________ Year __________

Type apparatus ________________ Size/Capacity ____________ Serial# _____________

Please circle either Yes or No
Is apparatus restored:  Yes  No    Being worked on:  Yes  No

Registered w/SPAAMFAA:   Yes  No

Original owner (Fire Dept) of apparatus  ________________________________________

Remarks: _____________________________________________________________________________

_____________________________________________________________________________
*Society for the Preservation and Appreciation of Antique Motor Fire Apparatus in America
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