114th Annual
Upper Peninsula Firefighter’s Tournament
Houghton MI.
Department Name: ________________________________Phone#_____________
E-Mail Address_________________________Complete this form and
pay Association Dues of $45 per Department plus the special assessment of $2 per member. Form and payment must be in the hands
of the association secretary by June 26th, 2008.Make check payable to the Upper Peninsula Firefighters Association. Mail to: Pearce Graham, 612
N. Moore Street, Bessemer, MI 49911
Department Roster Chief Siganture________________________________________
Racing Team Roster and Team Captain__________________________
Delegates ______________
___________________
Special Assessment: #______of members @ $2 = $_______
Association dues +$ 45
Total amount sent to Association: =$_______
Please note send the special assessment fee to: Pearce Graham
612 N Moore St
Bessemer MI 49911
906 667 0750
or email Pearce Graham @ excite.com
UP Vol. Firefighters Assoc. Web site for tourn. Schedule and rules:
http://u.p.firefighter.tripod.com/
