Fire Department / Station Membership Fire Department / Station Membership Application Date* Date Format: MM slash DD slash YYYY Fire Department Name*Station Name and NumberName of Contact Person* First Last Email* PhoneAddress* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Fire Department Membership* Price: $ 50.00 CAD CAPTCHA