Please complete the following:

Membership Application

First Name:

Last Name:

Phone Number:

We can get back to by email if you want just give us the address

Email:

What type of membership would you like

New Member Transfer From Another Department

Tell us what fire district you live in

Pick One Option Please Valatie Niverville Kinderhook Chatham

If you want to transfer tell us what department you want a transfer from and who we can contact and a phone number