RFFoY Membership Information Form
Home - Retired Fire Fighters of Yakima

Members please provide the following contact information to be used 
in our Retired Fire Fighters of Yakima membership book:

Last Name
His Name
Her Name
Street Address
City
State  
Zip/Postal Code
Phone (Area Code) Check if Unlisted
Cell Phone
E-mail

______________________________________________
If you have a second Summer or Winter home or location
 Please provide the following information:

Address
City
State  
Zip/Postal Code
Phone (Area Code)  Check if Unlisted

____________________________________________________
If you would like to have your birthday appear in the Newsletters
 Please provide the dates, do not include the year.

His Date of Birth (month/day)
Her Date of Birth (month/day)
_______________________
Employment Record

Date Hired (month/day/year)
Date Retired (month/day/year)