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Department Activation Form

Please fill out this form to have your department activated with FirefighterCE. After completing this form you will receive an email with simple instructions on how to have your members register under your department account.

Department Activation Form
Department Name  
Billing Address  
City  
State  
Zip Code  
Phone #  
Fax #  
Contact Person  
Email Address  
Pay Method  
Program  
Total Approved Members  
List All Approved Members
Example:
(John Smith, Mike Davis, Kevin Rogers)
 
   

 

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