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| NAME | |
| STREET ADDRESS | |
| CITY | |
| STATE | |
| ZIP | |
| PHONE | |
| WATER PROVIDER | |
| ACCOUNT NUMBER | |
| AMOUNT |
$3.00/month $6.00/month $9.00/month $12.00/month |
| DIGITAL SIGNATURE |
***Immediately upon receipt of this electronic form
the Ruth Vol. Fire Dept. will submit it directly to
your water service provider for processing.***
| OPTION #1 | |
| Mail a personal check for the entire year to the address provided below. | |
| $36.00/yr | @$3.00/mo |
| $72.00/yr | @$6.00/mo |
| $108.00/yr | @9.00/mo |
| $144.00/yr | @$12.00/mo |
|
Ruth Vol Fire Dept PO Box 392 Arab, AL 35016
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OPTION #2 |
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Supporters, Auxiliary, Fire Fighters, Officers, and Administrators appreciate all of your support!
You should expect an email response showing our appreciation.