New Mexico State Firefighters Association 93rd Annual Conference HOSTED BY LINCOLN COUNTY FIRE AND EMERGENCY SERVICES 8 June Thru 10 June 2017 FUNTRACKERS BONITO LAKE SMOKEY BEAR MUSEUM FREE TRAINING FIRE FIGHTER’S SKILL CONTEST ANNUAL ASSOCIATION MEETING FOR ADDITIONAL INFORMATION GO TO OUR WEBSITE NMSFFA.NM.ORG OR CONTACT LOCATION BONITA -PARK NAZARENE CHURCH CAMP Don Armijo Rudy Sales Becky Rodriguez Ronnie Walls Spencer Baldwin Danny Mena 575-740-1060 575-308-9974 575-740-2346 575-441-3276 575-937-2824 505-440-8136 BILLY THE KID INN OF THE MOUNTAIN GODS ALTO LAKE
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New Mexico State Firefighters Association 93rd … Annual NMSFFA...New Mexico State Firefighters Association 93rd Annual Conference ... Danny Mena 575 -740 -1060 575 ... Firefighters
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New Mexico State Firefighters
Association
93rd Annual Conference
HOSTED BY
LINCOLN COUNTY FIRE AND EMERGENCY SERVICES
8 June Thru 10 June 2017
FUNTRACKERS BONITO LAKE
SMOKEY BEAR
MUSEUM
FREE TRAINING FIRE FIGHTER’S SKILL CONTEST
ANNUAL ASSOCIATION MEETING
FOR ADDITIONAL INFORMATION
GO TO OUR WEBSITE NMSFFA.NM.ORG
OR CONTACT
LOCATION
BONITA -PARK
NAZARENE CHURCH CAMP
Don Armijo
Rudy Sales
Becky Rodriguez
Ronnie Walls
Spencer Baldwin
Danny Mena
575-740-1060
575-308-9974 575-740-2346
575-441-3276
575-937-2824
505-440-8136
BILLY THE KID
INN OF THE MOUNTAIN
GODS
ALTO LAKE
New Mexico State Firefighters
Association
93rd Annual Conference
Fire Department:
Department Mailing Address:
Zip Code:
Firefighter’s Name:
Spouse’s Name:
Is spouse a firefighter:
Child 1:
Your E-Mail Address:
Your Department E-Mail Address:
Child 3:
Child 2:
With the proper payment by check, money order or purchase order, submitted with this registration form. If you require additional information contact Becky Rodriguez (575) 740-2346.
Please use one form per single firefighter or family and return to:
HOSTED BY
LINCOLN COUNTY FIRE AND EMERGENCY SERVICE
8 June thru 10 June 2017
Registration Fees:
Male & Female Firefighters (Early Bird) (T-Shirt Included): Male & Female Firefighters (Late Registration) (No Shirt Included) : Spouse or Guest of Firefighters (non-firefighters) (No Shirt Included): State Auxiliary Members (No Shirt Included): Children of Firefighters or their guests (under 18) (No Shirt Included):
Phone:
Age :
Age:
Age :
Training Class
Choose One
QTY AMOUNT
$125.00 x _____ = __________
$135.00 x _____ = __________
$60.00 x _____ = __________
$60.00 x _____ = __________
$20.00 x _____ = __________
TOTALS _____ __________
1.
Lifetime Member Yes No
EARLY BIRD REGISTRATION
Registration received or postmarked on or before May 19, 2017: $125.00 – Includes Conference T-Shirt
Registration received or postmarked on or after May 20, 2017: $135.00 – WILL NOT Include T-Shirt
New Mexico State Firefighter’s Association
Attn: Annual Fire Conference
P. O. Box 286 Truth or Consequences, New Mexico 87901
2.
3
4.
5.
7.
6.
9.
8.
10.
4 meals are included in the cost of your registration. Please indicate which meals you will attend:
Lunch
Friday Saturday
Awards Banquet
Lunch
Dinner
New Mexico State
Firefighters Association
93rd Annual Conference
2017 Conference Shirt Order Form
If you do not pre-order a Conference shirt with your pre-registration, you can still order one during registration at the Conference however, you will
not received it until it is shipped to you after the Conference. There will also be an additional fee of $10.00 for shipping.
Indicate the size and quantity of shirt that you need on this form below.
Remember, a firefighter who pays the $125.00 registration fee by
May 19, 2017 will receive their shirt free with their registration package at the registration table at Conference.
If you want/need additional Conference shirts, please indicate the size and quantity below and submit the necessary payment with this form and your
registration.
SIZES QUANTITY PRICE TOTAL AMOUNT
SMALL $15.00
MEDIUM $15.00
LARGE $15.00
XTRA LARGE $15.00
XXTRA LARGE $17.00
XXXTRA LARGE $18.00
XXXXTRA LARGE $19.00
SHIPPING
GRAND TOTAL
YOUTH SMALL $15.00
YOUTH MEDIUM $15.00
YOUTH LARGE $15.00
PLEASE REMIT THIS TOTAL ALONG WITH YOUR REGISTRATION
If you have any questions, contact Jackie or Ronnie Walls at (575) 441-3276