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DISCLAIMER: Remember, you MUST also send in your required documentation to Paul Trumpore before your membership can be processed. The Federation of Fire Chaplains, our national counterpart, requires each state-level organization to comply with the documentation process with each paid membership and part of each TFFC membership fee goes to the FFC. The remaining funds stay in the TFFC to help fund and expand our services throughout the entire state. NOTE: If you can send in the documentation NOW and would like to pay for your initial membership here online, please proceed below. Thanks for coming aboard and we look forward to working with you!

Please fill in all the information boxes and hit submit. You MUST click the SUBMIT button for it to be successful.

*TENNESSEE FEDERATION OF FIRE CHAPLAINS ONLINE APPLICATION FORM *Name: *Address: *City, State, ZIP *Phone: Home # *Phone Cell # (if applicable) *E-mail Address: *Date of Birth: mm/dd/year Spouse's name: (If applicable) *Higher Education: (Check all that apply)
College Seminary Graduate School
*Please list your education and degrees below:
Date of Ordination? mm/year (If applicable)

Pastorate Information:

*Name: *Denomination: *Address: *City, State, Zip *Phone number:

Emergency Service Agency Information:

*Which Fire or Emergency Service are you affiliated with? *Chief's name: *Agency address: *City, State, Zip *Phone: *Date appointed chaplain; mm/dd/year *Type of Dept.
*Type of Chaplaincy:
*I agree that all the submitted info. above is correct and that the letters and documentation have been received by the TFFC executive director or should be received within 10 days.
I agree and can pay online TODAY
I agree but prefer to send a $100.00 check for dues along with my documention
*Electronic Signature - Type your first/middle/last initals here