Print
and fill out the following form and remit to: Cloverdale Volunteer Firefighters Association
67433 Cloverdale Rd. Sisters, OR 97759
Name:___________________________________________________
Address:_________________________________________________
City:____________________________________________________
Phone # Daytime:____________________
Evening:__________________
Physical
Address if different from above:
_________________________________________________________
Total Enclosed: # _______ signs $25.00 each = ______________
Print and fill out the following form and remit to: Cloverdale Volunteer
Firefighters Association
67433 Cloverdale
Rd. Sisters, OR 97759