Get Ca Membership Application - Anderson Valley 2021-2025

The CA Membership Application for the Anderson Valley Fire Department is an essential form for those looking to access medical membership benefits. This guide offers clear, concise instructions for completing the application online, making the process straightforward for users of all experience levels.

Follow the steps to successfully complete the application.

1. Press the ‘Get Form’ button to access the CA Membership Application. This will open the application in an editor, allowing you to begin filling out the required information.
2. Begin with section 1, titled 'Member Information.' Fill in the primary member's last name, first name, home phone number, cell phone number, date of birth, email address, and mailing address. If the home address differs from the mailing address, provide that in the designated fields as well.
3. Proceed to section 2, 'Additional Household Members.' If there are other members to add, write their names and dates of birth in the available space. Ensure that you agree to the terms and conditions by providing your initials and the current date.
4. In section 3, 'Membership Options,' select one of the membership options by checking the appropriate box. You can choose from an AVFD Ambulance Membership + AMCN, an AVFD Ambulance Membership, or make a donation.
5. Section 4, 'Payment Options,' requires you to select your payment method. Choose either a check or money order made payable to AVFD Ambulance, or select cash as an option. Ensure to sign on the reverse of the form to complete your membership application.
6. Once all sections are filled, review your application for completeness. Save changes, download, or print the completed form as needed. You may also share it electronically if required.

Complete your application online today to secure your membership benefits.