JONESVILLEFIRE
Jonesville Fire District 953 Main Street Clifton Park, NY 12065 APPLICATION FOR MEMBERSHIP Name: Address: Telephone: Home: Social Security #: Date of Birth: NYS Driver's License #: How long have you resided at the above address? Years: Months: If additional information about a change in your name or your use of an assumed name or nickname necessary to enable a check on your eligibility or membership? Yes No If yes, explain: Are you currently employed? Yes No Have you ever been a member of the United MoreIN WITNESS WHEREOF, this application has been subscribed this day of. ,. , by the undersigned applicant who affirms that the statements made herein are true ... Less
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