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I <br />I <br />i <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />RAMEEY FIRE DEPARTMENT <br />APPLICATION FOR MEMBERSHIP <br /> <br />Address <br /> <br />Phone No I ZI~LI~I <br /> <br />Are you over age 187 Ye~. ~ No <br /> <br />Firzt <br /> <br />Cily ~u~tc Zip <br /> <br />Middie <br /> <br />Are you under 65? Yes ~ No. <br /> <br />E M PLOhqvIENr'/'.: <br />Present Employer El3 ~ <br /> <br />:Position <br /> <br />Ad.ess <br /> <br />Working Hoursi~[~.'OO ~4v~,to. q~O n ~ <br /> <br />Coul~ you ieav¢ work m respond to a fire? <br /> <br />Could you obphn wrkren authorization to leave work? <br /> <br />Yes.'~ No <br />Yes ::~ No X <br /> <br />EDUCATl©N: <br /> Name of Schoo! <br /> <br />College or <br /> <br />Other Sp~ial <br /> <br />/7, vt//:g. <br /> <br />No applie~ant testing positive <br /> <br />for nicotine <br /> <br />shall <br /> <br />be accepted <br /> <br />for membership. <br /> <br />Iol <br /> <br /> <br />