Our Meeting is at: DEER PARK FIRE
DEPARTMENT
DIRECTIONS: Exit 51 South off the L.I.E. Go 2-3 miles on Deer Park Avenue. Under R.R. trestle And make left at Greenpoint Bank (left side of the road) into Lake Avenue. Fire House on right.
DATE: THURSDAY, OCTOBER 16, 2008
S.C.A.R.F./NASSAU
Long Island Association of Retired New York City Firefighters –
Union of Nassau, Suffolk, Peconic
APPLICATION FOR MEMBERSHIP
(Please Print)
Your Name_________________________Spouse_______________________________
Address__________________City________________________State________Zip________
Phone_______________DOB___________Date Appointed_____________
First Time Member_____ Active_______ Retired______ Date Retired__________
Rank When Retired___________Units Assigned_____________________________
Retired for Service____Disability_______Line of Duty________________
Summer Address (if applicable)____________________________________
New Members
Fill out and return with check in the amount of $25 made payable
to .
Long Island Association of Retired New YorkCity Firefighters
P.O. BOX 623
Port Jefferson, N.Y. 11777-0623
ANNUAL DUES: Due the first of January,
$30 after January 31st
Join the 400-Club11 Yes___No___
1st number choice_____2nd_____3rd_____
400-Club - $30 a number