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New Member Information Form
If you are interested in becoming a member of the LWFR Auxiliary, please complete this form and we will follow up with you!
First name
Last name
Email
Phone (cell)
Address
Were you referred by anyone (if yes, who?)?
Emergency Contact
Emergency Contact Phone
How many meetings have you attended (if the answer is zero that is okay!)
If you decide to join, how do you want your nametag to read?
Submit
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