Auxiliary Member Sign up

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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*

Phone*

Email*

Address

Were you referred by anyone (if yes, who?)?

Emergency Contact (Name and Phone Number) *

How many meetings have you attended (if the answer is zero that is okay!) *

If you decide to join, how do you want your name tag to read? *

21696 Lake Wenatchee Hwy, Leavenworth, WA 98826

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