GREENWOOD TOWNSHIP
VOLUNTEER FIRE DEPARTMENT MEMBERSHIP APPLICATION


(Please print, fill out, and mail to the address listed below!)
Name: __________________________________________________

Address: __________________________________________________

__________________________________________________

Telephone: ______________________________

Work #: ______________________________

Cell #: ______________________________

Social Security #: ______________________________

Date of Birth: ______________________________

Any Health issues that you are aware of: ________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________






Office Use Only:

Received by: ______________________________

Approved by membership: ______________________________

Chief Signature: ______________________________

Clerk Signature: ______________________________





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Greenwood Township 3000 County Road 77
Tower, MN 55790 Phone: 218-753-2231
greenwoodtownship@frontiernet.net