EQFD Membership Request Form
  Currently our roles for membership are open. We are always looking for fire and EMS personnel. Can't decide? Why not do both. Free training is provided to all members. If you are interested in finding out more about becoming a member please fill out the form below or Call 631-653-5101.  We will then email you the membership application.  Additional Email Contact
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Email *
Name of applicate (First and Last) *
Date of birth *
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Permanent address *
Email address *
Phone number *
Do you have any previous Firefighting Experience? *
If you have previous firefighting experience, please list your experience below:
Why do you want to become a firefighter of the East Quogue Fire Department?
*
A copy of your responses will be emailed to the address you provided.
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