2012 CWFA INVOICE
Central Western Firemen’s Association Notice of Annual Dues
Your annual dues pay for fire training publications, newsletter publications and mailings. Support your Association by paying your annual dues. Please fill-in all of the blanks and return the completed form with your payment. Please make check payable to the Central Western Firemen’s Association.
Dues Postmarked
Before March 1st Mail to: CWFA Secretary Cindy Westfall
$50.00 P.O. Box 101
Covington, Ohio 45318
March 1st-31st 1-937-473-3465
$55.00
We have______members of this Department.
April 1st-30th __________________________________________
$60.00 Please print name of organization
May 1st-31st __________________________________________
$65.00 Address
After June 1st __________________________________________
$70.00 County
__________________________________________
City, State, Zip Code
** DEPARTMENT E-MAIL ADDRESS –IMPORTANT!!-
Chief’ s Name__________________________________________
Address _______________________________________________
City, State, Zip Code_____________________________________
Department Phone_______________________________________
Other Phone Contact_____________________________________
Secretary’s Name________________________________________
Address________________________________________________
City, State, Zip Code______________________________________
Secretary’s E-Mail address_________________________________ Thank You! 2012 CWFA