Registration Form
Please read the Fund's Rules before applying for registration.
The Chairman
The Fire Service Fund
20 Chancery Lane
Adelaide SA 5000
I hereby apply to register as a Member of The Fire Service Fund and shall comply with the Rules or a motion passed at any constituted meeting of The Fund
Home Phone: Employer:
Mobile Phone: Work Phone:
Pay ID: Email:
Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . / . . . . /. . . . . .
I have printed this form myself and will sign and forward it to the Fund (Use the Print function of your browser)
Please forward a printed version of this form for me to sign and return to the Fund.
Unfortunately we do require a signed hardcopy for legal reasons. Unless you have indicated above that you have printed this form yourself a registration form will be posted to the address above. Please sign, date and return it to;