Professional Fire Fighters of Massachusetts (PFFM)

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Professional Fire Fighters of Massachusetts?

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Please fill out the information fields, and be sure to complete the lines with the *. These are essential fields, your request can not be processed if any required fields are left incomplete.

Once completed, your application will be verified, and approved as soon as possible. If you do not receive notification in 24-48 hours, please e-mail info@pffm.org for further information.

First Name: *

Last Name: *

Address: *

City: *

State/Province: *

Postal Code: *

County: *

Country: *

Phone: *

Cell Phone:

Format (no spaces or dashes): xxxxxxxxxx
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E-Mail Address: *

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Confirm E-Mail Address: *

PFFM District #: *

Member # :

Local # :

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Choose Password: *

Password Strength:

Strong passwords contain 3 of the following items and at least 6 characters:

- Uppercase Letters
- Lowercase Letters
- Numbers
- Symbols

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