This Membership Form is for Retired employees of the District of Columbia Fire and Emergency Medical Services Department (DC FEMS). Dedicated to honoring your service and keeping you connected, this membership provides retired members with opportunities to stay engaged with the Progressive Firefighters Association of Washington, D.C., participate in community initiatives, support active-duty brothers and sisters, and maintain lifelong camaraderie with fellow veterans of the department.

Name *

First

Middle

Last

Today's Date *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone Number *

Home Phone Number

Email *

Confirm Email

Your Retirement Date

Your Date of Birth *

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