Username
Your username will be used to manage your Work In fire Membership information. It should consist of up to 16 characters (only letters and digits are allowed). The username you choose is what you will type at the login section
Date of Birth
First Name
Middle Name
Last Name
Primary E-mail
Secondary E-mail
ICQ #
AIM Name
Yahoo Name
Phone #
Street Address
City
State	Required only if you live in United States
Zip / Postal Code
Country
Skill Description
Are you a Firefighter?

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