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Please complete the membership form, double check your information, then click the [Submit] button to go to our secure PayPal site. A confirmation will be emailed to the email address you provide immediately after making your payment. We appreciate you joining/renewing on-line because it eliminates potential mail problems & provides you instantaneous confirmation by email.

Membership Form

Fields marked with a * are required.
*First Name:
*Last Name:
*Confirm E-Mail:
2nd E-Mail:
Confirm 2nd E-Mail:

*Mailing Address:
Lake (911) address:
not needed if same as mailing address

Your Contributions
Item This Year Last Year
Earl's Chapel VFD
County Roads Rescue
Membership Dues to be paid:
Donation for Annual Fire Work Show (optional): $
Donation for Earles Chapel Vol Fire Dept (optional): $
Donation for County Roads Rescue (optional): $

After you click 'Submit' below and get to the next page, if you do not want to pay with a PayPal account, at the bottom of that page click on 'Pay with Debit or Credit Card'.

Fireworks Fundraising Progress:

Sponsored Ads
For more information, click on an ad below which will take you directly to their website, if they have one.
Dairy Queen
Becky Hesterley - Keller Williams
Katie Struhall - Keller Williams
Would you like to advertise here? If so, text Wayne: