Membership || New Bethlehem Fire Company

New Bethlehem
Fire Company #1

425 Arch Street
New Bethlehem, PA. 16242
(814) 275-3000
[email protected]

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BECOME A MEMBER

The New Bethlehem Fire Company welcomes you to become a member! We offer three (3) types of membership; Junior, Active and Social.

Junior Member:
For youth (under 18) who wish to get an early start for eventually becoming a firefighter

Active Member:
For those who play a ‘major’ role in Fire Company operations; includes, but not limited to active firefighters

Social Member:
For those who wish to volunteer with dinners, fundraisers, and Fire Company community events & activities

Please save/print the PDF membership form OR complete the membership form below to be considered for membership. Upon receipt of your application form, the company determines your eligibility and votes at their next meeting. A member of the company will contact you upon successful acceptance and provide you with a membership card.

Please choose which type of membership you'd like to join. *
Junior + ($10 application fee)Active + ($10 application fee)Social + ($10 application fee)
First & Last Name *
Occupation *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone *
Email *
Date of Birth *
Age *
Date Submitted *
Your signature *(Please type your first and last name to be accepted as your signature)
Parents Signature (If required - Please have a parent type their first and last name to be accepted as their signature)
First & Last names of two (2) NBFC members who support your application submission *First Last name & First Last name

Experience

List any previous Fire Department/EMS Experience
Years of experience, training or certification etc.

References

Reference 1 *First & Last name
Reference 1 Phone *Please enter home or cell phone
Reference 2 *First & Last name
Reference 2 Phone *Please enter home or cell phone
Reference 3 *First & Last name
Reference 3 Phone *Please enter home or cell phone

Payment Information

You will be redirected to Paypal to securely enter payment information upon submission of this form. Please click the submit button to visit Paypal. You do NOT have to have a Paypal account to pay with ALL MAJOR CREDIT CARDS.