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2. Willow Springs Rural Fire Protection Association

   New Membership & Renewal

   Membership in the WSRFPA gives you the security of knowing that if you have an emergency at your registered property you will not receive a bill.

   State law allows us to charge $100 per call and $500 per hour for that call.

   
   

   Membership is $50 per year. Your membership helps support your local fire department to provide equipment, training & personnel and helps them be prepared to respond to your emergency. 

   Please help support your local WSRFPA by paying your annual dues. You can do this by completing the form below and making your payment online on the following page.

   
   

   TERMS AND CONDITIONS FOR MEMBERSHIP

   • Rural fire membership is not an insurance policy.

   • Membership is non-refundable.

   • Membership is available for residents inside the Willow Springs School District boundaries.

   • You MUST notify the Willow Springs Rural Fire Board to transfer membership on a property.

   • The Willow Springs Rural Fire Board reserves the right to bill directly the appropriate insurance provider for services rendered.

   • Each dwelling unit requires a separate dues and registration.

4. First and Last Name*
5. Email Address*
7. Mailing Address (Street, City, State, Zip)*
9. Location Address - if different than mailing address (Street, City, State, Zip)
11. Contact Telephone Number*
13. I have read and understand the above terms and conditions of the Willow Springs Rural Fire Protection Association.*

    Electronic Signature (type First and Last name)

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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

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