Online Request for Membership Information

To receive more information about becoming a volunteer firefighter or how you can help serve your community, please complete and submit the form below. A Chief Officer of the department will contact you to complete your request. You do not need to be a resident of Pender County to serve on the department.

In order to be considered for membership in out department, a hard-copy membership application MUST be completed in its entirety and submitted to the Chief.

*** NOTE ***

Due to recent abuse by spammers, this use of this form requires that a Security Code be entered in the box marked "Security Code" in order for the form to be properly submitted. When you have finished filling out the form below with your contact information, please enter 1200 as the security code. If this step is not completed, the form WILL NOT work.

* - Denotes a REQUIRED FIELD

* Name:
* Address:
* City/Zip:
* Phone:
* Email:
Please type your questions or comments in the box below.
* Comments:
Please indicate the method you wish us to contact you

Telephone

Email

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Security Code:

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