Become an Angel - Certificate
$50.00

(Limited to 1000 Members)

Earn Your Wings - Lapel Pin
$50.00
 

All of our 1000 ANGELS receive one of the 1,000 numbered membership 
certificates and will have their name listed on the official web page.
 If you "Earn Your Wings" we'll also send you a 1000 ANGELS
Club Lapel Pin. 

 
 

OFFICIAL MEMBERSHIP RULES:

  • Only 1,000 Membership Certificates will be issued.
  • Name displayed does not have to be the same as the contributor.
  • The name in each box is limited to 40 characters of text.
  • Each display name can only become a 1000 ANGELS once.
  • A Contributor can purchase as many display names that are still available.
  • Only one display name per form. Use multiple forms if necessary.
  • Forms may be printed or information can be provided on a separate piece of paper and should then be mailed to the address show below in step #3.
  • A 1000 ANGELS Member may purchase an unlimited number of lapel pins.
  • The first 100 Angel Certificates will be reserved for Active and Retired Firefighters until October 31, 2008, at which time any open slots will be available to be purchased by the general public. 
  • Certificate numbers will be assigned in the same order as payments are received.
  • Member names will be posted on the 1000 ANGELS web page within 30 days of receipt of payment.
  • Any excess payments shall be applied to the regular and on-going Last Alarm Foundation fundraising program at the appropriate membership benefit level.

To Join Now Follow the Next 4 Simple Steps...


Step #1 Membership Information

Please provide the following contact details:

Fields marked with "*" are required fields for a valid submission.

 
Salutation
Name as it should be displayed on the
1000 ANGELS
web page and
appear on membership certificate.

*
You do not have to display your own name.

 Contributor First  Name *
Contributor Last Name *
 Contributor Nick Name 
Organization
Mailing Address *
Address (cont.)
City *
State/Province *
Zip/Postal Code *
Contact Phone
E-mail *

Note: Membership Certificates and Pins cannot be mailed if accurate information is not provided.!


Step #2 Member Commitment

Please check the appropriate boxes:

Make Me an ANGEL   ($50.00 ea.)
   
 I would like to Earn My Wings     ($50.00 ea.)
   
I will mail my check ASAP   
   
Call me so I can pay by credit card   
Best time to call     
   
Notify me by e-mail about
Last Alarm Foundation events
 
 
   
I would like to do volunteer work
for the Last Alarm Foundation
 
 
   

   We would be pleased to hear about any comments 
   or suggestions concerning the Last Alarm Foundation: 

 

   

Note: This is not a secure web page. Please do not provide credit card information.


Step #3 Send Payment


Send your check or money order for $50 or $100 to:

1000 ANGELS
c/o
Last Alarm Foundation
P.O. Box 18408
Tucson, Arizona 85731


Step #4 Submit Form


Select the "Submit Form" button below to send us your membership
 information now, or print & complete this page and mail it to us today! 

 

Your donation is tax deductible!
____________________________

Questions? E-mail or Call us @: 520-305-1263

     

 

Powered by United Fire


 

Last Update: 07/30/2008

 

CORPORATE SP0NSORS    DONATIONS    ABOUT US    HOME    CONTACT US      LOGO ORIGIN     SHOP OUR STORE!