top of page

3014766

image.png

Applications for Fire Subscription - Paper Form

Annual Fire Membership Subscription

  • Our yearly memberships are $50 and can start at any time.
  • We also offer a lifetime membership for $750.00
  • Our members will not be responsible for the cost of fire runs to their home or property.  
  • Nonmembers will receive a bill for fire response.
  • Click on the image to the left to download a copy of our membership form. 
  • To pay via check or money order simply mail a check or money order to the address shown on the membership application along with the completed form.
  • Online payment is available using the form below.

Applications for Fire Subscription - Online Form

Complete the form below.  We will email you a link for online payment. 

Property Owners Name*

Mailing Address

Email Address*

When do you want coverage to start?

Property Address to be covered (please describe the location if you do not have a 911 address)

Phone Number

Insurance Company and policy number. (not required information)

Membership Type

Thanks for submitting! We will email you a link to pay via QuickBooks.

bottom of page