Fraternal Insurance Application
    Must Be a Member of the North Carolina State Firemen's Association
    Must Mail form with $8.00 Premium to: *
 
Fraternal Insurance Beneficiary Statement
 
The Firemen's Fraternal Insurance Fund Request For Change
    Must Mail Form with $1.00 to: *
 
        *North Carolina State Firemen's Association
          P.O. Box 188
          Farmville, North Carolina 27828-0188