Use the form below to apply for membership to the Amagansett 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 membership@amagansettfd.org.

Indicates Required Field

Membership Type:		Ambulance Firefighter Both
First Name:
Last Name:
Email Address:
Mailing Address:
Street Address:
City, State, Zip:
How long you have lived at this address:
Home Phone:
Other Phone:
I prefer to be contacted at:		Select Below Home Other
Birth Date:
If you have previously served in a fire department, name the department:
Please feel free to add any further comments: