Cambria Volunteer Fire Company Membership Application
Welcome to our online membership application. We are providing this online form to assist you and make your membership application process quicker and easier. Fields marked with an asterisk (*) are required before your application will be processed. Please read the terms of the online application agreement before filling out this form and submitting it.

Application Agreement I (the "Applicant") hereby authorize the Cambria Volunteer Fire Company of Lockport, New York (the "Company") the use of any information provided in this form and can not hold the Company liable for the loss of or unintended use of the information provided in this form. The Company agrees not to sell, give away, or distribute any information provided through this form except to individuals within the Company. I, the Applicant, agree that all of the information provided is as accurate as possible and that I am applying for membership on behalf of myself only, not for any other individual.

Name* 
Email* 
Age* 
Address* 
City, Zip* 
Occupation* 
Home Phone 
Cell Phone 
Date of Birth* 
NYS Drivers License #* 
Referred By 
Reply by*          
Application Agreement*