test update

test updatelarfpa2021-06-23T11:30:36+00:00

General Information

Department
FirePolice

Choose One
ActiveRetiredWidow/er

Appointment Date

Retirement Date

Date of Birth

Contact Details

Confidentiality preferences

I would like ALL of my information listed in the roster.I do not want my street address listed.I do not want my state, city or zip code listed.I do not want my phone number listed.I do not want my email listed.I do not want my serial number listed.I do not want ANY of my information to be listed.

How would you like to recieve the membership roster?

On the secure website (log in required)Mail me a hard copyNo thanks

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