When

Saturday, September 18, 2021 at 1:00 PM EDT
-to-
Thursday, June 30, 2022 at 1:00 PM EDT

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Where

This is an online event.

Contact

Daniel Castle
Kentucky Association of Fire Chiefs
859-744-5902
executivedirector@kychiefs.com

2022 KAFC Membership

You can now renew your membership and join as a new member the Kentucky Association of Fire Chiefs online.

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Your Information

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  • Fee

    Type Fee
    $25.00
    $50.00
    $25.00
    No Charge

$10,000 AD&D Policy

  • Complete the form below for your $10,000 AD&D coverage. The Kentucky Association of Fire Chiefs is the Policy Holder. Policy #9907-56-90 You will not be contacted by the insurance company.

  • Hereby revoking any and all previous designation, I designate the person(s) on this form as my beneficiary(ies) to receive any payment from the policy or certificate number shown above. I fully understand that this designation of Beneficiary(ies) applies to the full accidental Loss of Life Benefit amount that is in force.

  • Type of Deisgnation

  • You can designate up to 4 beneficiaries with an percentage of the benefit going to each

$9,999.99

Payment

Payment Method

  • Please make check payable to:
    Kentucky Association of Fire Chiefs
    722 Terry Drive
    Winchester, KY 40391

Payment Summary


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