6777 Main Street • Amherst, NY 14221 • (716) 632-9710

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Auxiliary Member Application

Support your Community at your Leisure!

Application Form

Non-Emergency Auxiliary Member application

Get more involved in Your Community — provide crucial support without the stress!

Name
Are you 18 years of age or older?
What areas are you interested in helping out with? (check all that apply)
Do you have Firematice or EMS experience?
Terms and Agreement
In checking the box above, you confirm that all information in this application is true and accurate, and that you agree to be contacted through the information listed on this application.