50 Years of Service in the Fire, EMS and or Rescue Service - Maryland State Firemen's Association

This Recognition is presented to the member of your company that has at least 50 years of service and is still living.

It is extremely important that you spell the name correctly, as this is exactly how it will be printed on the certificate. Be sure to double-check punctuation (commas between last name and Sr., Jr., etc. where applicable).

These Certificates will be made available at the Annual MSFA Convention . Presented on stage during the Convention only when program time permits.

Certificate of Recognition Request Form

Member's Full Name*
Prefix First Middle Last Suffix
Enter the member's name exactly as you want it to appear on the certificate.
Member's Department Name*

Enter the member's department name exactly as you want it to appear on the certificate.
Department's County*
If certificates are not picked up at the Annual MSFA Convention, they will be mailed to you.
Member's Total Years of Service*
Your Name*
First Last
Please provide us with your name so that we know who to contact if there is a question.
Your Email*
Your Phone
Comments
This field is for validation purposes and should be left unchanged.

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