ANNUAL CONFERENCE CREDENTIAL BLANK

Please Print or Type DEPARTMENT INFORMATION             

1.  Department Name_________________________   Number of Members__________

Chief______________________________ Secretary___________________________

 Mail Will Be Sent To Chief’s Address: ________________________________________

_____________________________________________________________________

II. Rules require that this form be postmarked one (1) week previous to the conference in order for you to be eligible for competition . (Registration up to 9:00a.m. on Conference Day for some contests.)

              YOUR DELEGATE                      YOUR ALTERNATE

 1. _______________________                1._________________________

III        CONFERENCE INFORMATION - Number of your members attending ___

IV There can be only one entry per event or category per membership. Please fill in all information requested for events, etc., entered to be eligible for competition and prizes. There must be a delegate at the Business Meeting to be eligible to compete.

1. Men's Water ball ____ 2. Women's Water Ball ____  3. Hose Evolution  ____                    4. Bucket Brigade  ____ 5. Squad Competition ____ 6. Drafting  ____ 7. Strong Arm  ____ 8.Gear Donning ___9. Hose Line ____ 10. Cart Race ___ 11. Queen’s Contest

IV-a      BEST MAINTAINED IN SERVICE EQUIPMENT    There must be one, and only one, member with the equipment when judged.

                                                 YEAR             CHASSIS                              MFG. BY

                              (Example 1978                Mack                                      Pirsch)

                                                ____              _____________                  _______________

IV-b     BEST MAINTAINED ANTIQUE EQUIPMENT

                                                 YEAR             CHASSIS                  MFG. BY

                                                 ____              ________                 _______________

___________________     _____                        ___________          _______________

VI.              CREDENTIAL BLANK CERTIFICATION

As Chief of the Department I hereby certify that I have read all Contest Rules and the Rules and Regulations of the Association and the members of my department that will be attending the conference have been made aware of these rules and regulations. Entries in contests will not be accepted without valid signature.

 Signed __________________________________________

Return this form to the Conference Host Department as soon as possible so that your competition entries can be accepted. Without this form you will not be able to compete in any competitions .