PEIHS

Name * First Last
Email *
City/Town *
Province *
Telephone ### - ### - ####
Indicate your status by checking off a choice *
Active Military Fire Fighter Retired Military Fire Fighter DND FR Fire Fighter Retired DND FR Fire Fighter Family Member
You have to add information such as course number, retirement date etc. We need this to verify new memberships. *
This is the default text. Simply erase it and insert your own text. I am a retired military Fire Fighter. Joined in 1966 course # 6607 at Camp Borden, Ontario.

Please indicate where you are currently serving or if you are retired. Where you received your training as a military firefighter and your course number.
Do Not Fill This Out

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