Register – Duxbury Firefighters

First Name*

Last Name*

Employee ID

IAFF Member Number

Mailing Address

City

State

Zip Code

E-mail Address*

Phone Number

Mobile Number

Mobile Carrier*

Username*

Password*

Confirm Password*

Only fill in if you are not human

Shift Schedule

1 Shift

2 Shift

3 Shift

4 Shift

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Shift Schedule

1 Shift

2 Shift

3 Shift

4 Shift