Membership Information

 

Black Chief Officers Committee
International Association of Black Professional Firefighters
Invoice 2012 Annual Dues and Membership Form

 

 

Application


If mailing forms, please print and mail completed form (above) along with your check of
$120.00 for Active members or $60.00 for Retirees to:

Chief Charlie Walker, Treasurer
Black Chiefs Officers Committee
P.O. Box 618171
Orlando, FL. 32861-8171


407-425-2332 (H), email: chr942@aol.com
Black Chief Officers Committee 2012 Annual Dues
(payable 10-1-2011 through 9-30-2012)

Pay online by clicking "Pay Now" button below after filling out and submitting form:

Please note that there is a $4.00 online processing fee per transaction.


 Name:                                                           Title:

    

 

Please Check One:

Active $120.00       Retired $60.00    

 

 Department:

 

 Department Address:

 

 Work Phone:                                                    Home Phone:

    

 

 Home Address:

 

 Email Address:

 

 

Are you an IABPFF Member (Check One:

YES       NO    

 

If the answer is no,  include  IABPFF dues in your submittal.   A one time charge will be added to all retired members dues for life time membership in the IABPFF.

 

Active members                $120.00

Retirees                                $   60.00  

Iabpff life time                    $100.00

Iabpff annual                      $  33.00

Associate members         $170.00

 

 

 

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