Salem Fire Foundation · Salem Fire Fighters Sustainers Breakfast

Registration information

All guests must fill out an individual registration form. For multiple attendees email office@SalemFireFoundation.org You can select your table captain or ask to be assigned to a seat from this form.

Name

*

First Name

Last Name

Organization/Employer

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Preferred contact phone #

*

Email

*

Verify Email

*

Choose your seat (or let us know you will not attend, but will make a donation)

*

Select a table captain from the list below or choose "Assign me to a table" at the top of the list.

Would you like to be a sponsor?

*

If you would like to sponsor you can do that now or find a hard copy of the sponsor form at SalemFireFoundation.org.

Yes

No

Maybe (contact me)

Optional sponsorship level or donation

$10,000 - Title

$5,000 - Asst. Chief

$1,000 - Battalion Chief

$500 - Captain

$250 - Fire Fighter

$

Donation Schedule

Makes Checks Payable to:

Salem Fire Foundation

PO Box 2920

Salem, OR 97308-2920

The Salem Fire Foundation is a registered 501(c)(3) nonprofit organization and all donations are tax deductible. Tax ID 47-2328706

Honor a survivor or memorialize someone special.

Is there someone you would like to remember or honor with your donation?

Please use this form to hold your seat for the Salem Fire Foundation Sustainers Breakfast.

Wednesday, Feb. 14, 2024, at Willamette Heritage Center Spinning Room.

Doors Open: 7:00 am; Program Starts 7:30 am

Registration information