Join The Association

Thank you for your interest in membership with the Pennsylvania Association of Fire Equipment Distributors. If you would like more information, or would prefer to apply over telephone, please email, or give us a call. We're here to help, and look forward to meeting you soon!

Sincerely,

Ron Ford
President

Application Form

Step 1 of 8

Name(Required)

First Last

Phone(Required)

Email(Required)

Company Name(Required)

Website

Company Summary

Tell us a little bit about your company.

Your primary and alternate voting representatives will represent your company in all association voting matters. Representatives provided will receive electronic and printed member communications from the association.

Name of Primary Voting Representative(Required)

First Last

Title(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Name of Alternate Voting Representative

First Last

Title

Phone

Address(Required)

Street Address Address Line 2 City State ZIP Code

The Association accepts Visa, Master Card, American Express or Net 30 terms. Please make checks payable to: PAFED.

Invoice Net 30 or Credit Card?(Required)

Name on Invoice(Required)

First Last

Email Invoice To:(Required)

Phone(Required)

Address to Mail Invoice To:(Required)

Street Address Address Line 2 City State ZIP Code

Name on Credit Card(Required)

First Last

Credit Card Number(Required)

Expiration Date(Required)

CVV(Required)

Signature(Required)

Please refer to the ByLaws page on our website for membership eligibility. https://www.pafed.com/bylaws/

Names/E-mails of people in your company who would like to receive PAFED newsletters and notices:

Associate Name #1

First Last

Associate Email #1

Associate Name #2

First Last

Associate Email #2

Associate Name #3

First Last

Associate Email #3

Please Note: Payments or contributions to PAFED are not deductible as charitable contributions for federal income tax purposes. Payments may be deductible as a business expense. Please consult your tax advisor. The Association accepts Visa, Master Card, American Express or Net 30 terms. Please make checks payable to: PAFED.

Associate Dues: Pay Today via Credit Card or Invoice Net 30?(Required)

Name for Credit Card / Invoice(Required)

First Last

Address for Credit Card / Invoice(Required)

Street Address Address Line 2 City State ZIP Code

Phone for Credit Card / Invoice(Required)

Email for Credit Card / Invoice(Required)

Credit Card Number(Required)

Expiration Date(Required)

Month/Year

CVV(Required)

Signature(Required)

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