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Add to List Form

Use this form if you'd like to add your information to the association's web site. Doing so will allow other members to e-mail you through this web site without knowing your actual e-mail address. It will also give you access to the password protected list of members who have joined and accept e-mail to be sent to them. All of the information collected is used for Assocation purposes only. If you'd like to be able to e-mail other members that allow it, but don't want to allow others to send e-mail to you, just enter "No" on the form where it asks "Allow members to send you email through this site?"

Note: All highlighted field names are required. All others are optional.


First Name
Middle Initial
Last Name

Place Jr, Sr, etc. (but exclude periods) in this field.
Nickname
Your Email
Association

PO = Police Officer, FF = Firefighter
Allow members to send you email through this site?
City, State ,
If you live outside of the US, please type in the location and select "Outside of USA" in the pull down menu.
Pick a Username
This is not case sensitive. All usernames will be converted to lower case.
Pick a Password
This is case sensitive
Reenter Password


 

 
 

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