Last Alarm Foundation

Join 1000 Angels

OFFICIAL MEMBERSHIP RULES:

Sample Certificate - 1000 Angels
  • Only 1,000 Membership Certificates will be issued. Click on Sample to the right —–
  • Name displayed does not have to be the same as the contributor.
  • The name in each box is limited to 40 characters of text.
  • Each display name can only become a 1000 ANGELS once.
  • A Contributor can purchase as many display names that are still available.
  • Only one display name per form. Use multiple forms if necessary.
  • Forms may be printed or information can be provided on a separate piece of paper and should then be mailed to the address: Last Alarm Foundation PO Box 18408 Tucson, AZ 85731 or submit as shown below in Step #3.
Lapel Pin Photo
  • Along with your personalized Certificate, you will also receive an Angel Wing Lapel Pin – Click on photo to the right —
  • The first 100 Angel Certificates are reserved for Active and Retired Firefighters and their family members only.
  • Certificate numbers will be assigned in the same order as payments are received.
  • Member names will be posted on the 1000 ANGELS web page within 30 days of receipt of payment.
  • Any excess payments shall be applied to the regular and on-going Last Alarm Foundation fundraising program at the appropriate membership benefit level.

To Join Now Follow the Next 4 Simple Steps…

Step #1 Membership Information


Please provide the following contact details:
(Fields marked in "bold" are required fields for a valid submission).

 

Salutation
The following box is for the name as it will appear on the web page and on the Membership Certificate. You do not have to display your own name.
Name for the Certificate
Contributor First Name
Contributor Last Name
Contributor Nick Name
Organization
Mailing Address
Address (con't)
City
State
Zip Code
Contact Phone
E-Mail
Note: Membership Certificates and Pins cannot be mailed if accurate information is not provided.!

 

Step #2 Member Commitment


Please check the appropriate boxes:
Payment Options
Best Time to Call
We would be pleased to hear about any comments or suggestions concerning the Last Alarm Foundation!
Note: This is not a secure web page. Please do not provide credit card information here!

 

Please type in the letters and symbols you see.
Please type in the letters and symbols you see.

Step #3 Submit Form



Select the "Submit Form" button below to send us your membership information now or print & complete this page and mail it to us today! Step 4 is on the next page!
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