SelectQuantityYearsSubscriptionPriceTotal Price
             Grand Total:$154.00      

Membership: 1Department (Note that you must purchase for all active personnel at your department.)

  21903012 Members1$77.00 0$154.0012155.0000YEARDUSTrue
All questions marked with an asterisk are required.
1. PURCHASER CONTACT
Email: *
* MUST be a unique email address, not a shared email, in order to gain access to The Fire Academy
First Name: *
Last Name: *
Job Title: *
Department Name: *
*No abbreviations – please spell out department name
Address: *
City: *
State/Province:
 *
Zip/Postal Code: *
Country: *
Business Phone: *
2. PROFILE INFORMATION
What job functions do you have? (Check all that apply) *






What type of fire department or substation is at your location? *
What type of purchasing responsibility do you have? *
What population size is served by your fire department? *
What is your EMS Certification Level? *
3. ADMINISTRATOR CONTACT
Email:
First Name:
Last Name:
Please Select Your Job Title:
Business Phone:
4. TERMS & SERVICES
5. DATA & PRIVACY POLICY
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