CFP Membership Information Form

ALL existing and new members (General Membership, Dispatchers, Commercial Accounts) are required to supply the following information as soon as possible. 

Please answer all questions as completely as possible.  Address any concerns in the "Comments" box at the end of this form.

This information will NOT be sold or forwarded to any agency or organization. 

If you are not an existing member and want to join CFP, please visit our web site and review "Subscribing Info."

You may receive a follow-up email if we have questions on any items.  Please submit this information electronically after completion by choosing the "Send to CFP" button at the bottom.

You may also use this form to change any of your options in the future or to report problems. Simply indicate the change/problem in the "Comments" box at the bottom.

Thank you.

[CFP Ctr]

Your Full Name:

Your Email Address: (e.g.: you@aol.com)

CFP Membership Number (3 or 4 digits) (If new member, one will be assigned later)

Emergency Agency Affiliation(s)*:
*Required

Mailing Address:

Address (cont.)

City:

State (pick one)

Zip Code

Work Phone

Home Phone

Cell Phone

List the device you currently receive CFP alerts to. Indicate pager/phone number and service provider.

If you receive alerts via email, list that address here.

Select any of the following options that apply in terms of the alerts that you would like to receive:
 National 2nd Alarms+ and NC/SC Incidents (LEVEL A2)
 National 3rd Alarms+ and NC/SC Incidents (LEVEL A3)
 National 4th Alarms+ and NC/SC Incidents (LEVEL A4)
 National 5th Alarms+ and NC/SC Incidents (LEVEL A5)
 NC/SC Incidents Only, No Nationals (LEVEL B)
 North and South Carolina Multiple Alarms Only, No Working Fires (LEVEL C)
 
Special groups you may select:
 USAR/Haz-mat Special Interest  
 Wake County Group
 Mecklenburg County Group
 FireNews.net Updates/Special Alerts
 SCONFIRE.com Updates/Special Alerts

Enter your desired email address to use for the CFP email mailing list at yahoogroups.com in the space provided below. Enter "none" if you do not wish to participate.

Choose one of the following options*:
 I do not use CFP for any commercial purposes. (Personal Account)
I do use CFP for commercial purposes.
* Required

In the box below, please list the following:
- Any counties that you wish to receive weather information on (watches/warnings).
- If you have a Nextel, your Direct Connect ID.
- Any changes you wish to make to your account.
- Any problems you are having with your account.
- General comments on the service.

 

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Revised: 11/08/2005