2023 Membership Application

NY Fire Alarm Assoc.
(A Non-Profit Organization)
30 Rome Street
Farmingdale, New York 11735
Tel#516-328-6932 Fax#516-706-0633
info@nyfaa.org
Instructions: Answer all questions that apply so we can keep you up to date in our computer Then fill out only ONE section at the end of this form that pertains to your type of membership! This is a four page application.

Company Information

Owner/Officer(s)

Representatives

List individuals and their titles to represent your firm. Do they have the authority to speak and make decisions on behalf of your firm?

Type of Membership: Fire Alarm System Distributors and Service Organization Member

Type of Membership: Central Station Fire Alarm Monitoring Company Member

Type of Membership: Engineering Firm Member

Type of Membership: Manufacturer Member

Type of Membership: ARCS Service Member

Affirmation of Accuracy of Information I attest that all the information in this application is true to my best knowledge and permit the confirmation and verification of the information stated. I further acknowledge that any misinformation or errors may require further information. Failure to provide this information may prevent this form from being processed and approved. Misrepresentations may also prevent further processing of future applications from your firm or associated organizations

DO NOT SEND PAYMENT WITH THIS APPLICATION WHEN IT IS SUBMITTED

All information on each submitted application is verified at the NYFAA office. Once verified, the NYFAA Board of Directors confirm that the requirements have been met for the membership classification requested, and subsequently vote on each request for membership based on verified information. Once approved, the NYFAA office will contact the company applying for membership to advise of the Board’s determination. An invoice will then be generated to the accepted company based on the approved classification. Payment may then be made to the NYFAA Via credit card or check.