2018 Membership Application

 application form header

Please note:

  1. All portions of this application must be completed. For municipal inspectors, a copy of your
    appointment by your municipal council as a fire inspector must be included.
  2. Dues are payable by April 1 of each year. Annual membership fee of $350.00 payable to the
    Fire Inspectors Association of Nova Scotia must accompany this application. Please indicate
    if you are applying for regular or associate membership. See bylaws at www.fians.ns.ca for details.
  3. Completed application must be mailed to:
    Fire Inspectors Association of Nova Scotia, PO Box 8566, Halifax NS B3K 5M3

Please consider this as your invoice – no other invoice will be sent.

Allow 6 – 8 weeks for a reply. Information must be reviewed by the membership committee.

Name

Last: ____________________________________ First: ______________________________

Street: ________________________________________________ Suite/ Apt. #: __________

City/Town: ____________________________ Prov.: ____________ Postal Code: _________

Phone _____________________________   Cell: ________________________

Email: ______________________________ Driver’s license master #: ____________________

Local (Valley /South Shore/ Central/ Highland/ Island): _________________________________

Employer: __________________________________________________ # Years: _________

Street: _________________________________________________ Suite/ Apt. #: ________

Community: ____________________________ Prov.: ____________ Postal Code: _________

Education: High School _________________ Post secondary _____________________

Trade ________________________________   #Years ______________________

Please sign here if you agree that we can post your work contact information on the FIANS web site for public viewing.
FIANS will not be responsible for any contact initiated by disclosure of this information.

____________________________
       Signature

Event Properties

Event Date 01-01-2018
Event End Date 12-31-2018
Cut off date 11-01-2018
We are no longer accepting registration for this event

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