Use the form below to apply for membership to the Sag Harbor Fire Department. After completing this form, a representative of the membership committee will contact you. In the meantime, feel free to come down and visit the station. If you have any additional questions, please feel free to email info@sagharborfd.org

Indicates Required Field

Name: Last, First, Middle initial
Email Address:
Address: Street Address, City, State, Zip
How long you have lived at this address:
Home Phone:
Cell Phone:
I prefer to be contacted at:		Home Phone Cell Phone Email
Birth Date:
If you have previously served in a fire department, name the department:
Please feel free to add any further comments: