Active Military Service - Maryland State Firemen's Association

The MSFA wishes to recognize our volunteer fire, EMS, and rescue personnel who have, in the twelve months since the last Annual MSFA Convention , been serving in active military service of the United States of America. These Certificates will be made available at the 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.
Military Service Branch*
"Other" Selected. Please Elaborate.*
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
Name
This field is for validation purposes and should be left unchanged.

Subscribe to daily digests of MSFA News & Dept. Announcements, processed by Mailchimp.

Your Name*
First Last
Your Email*
Enter Email Confirm Email
Email Lists*
- News & Announcements
- Convention News
- Legislative Bulletins
Select the daily-digest subscription lists you would like to join.
Email
This field is for validation purposes and should be left unchanged.

Active Military Service Certificate of Recognition

Certificate of Recognition Request Form

Maryland State Firemen's Association