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2. Periodically, the Wayne County Office of Emergency Services will send out various information and updates on topics and projects affecting public safety within Wayne County. Please submit the form below if you would like to placed on the email distribution list.
4. Name*
5. Email Address*
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
15. Discipline*
    -- Select One --FireLaw EnforcementEMSOther (Please Specify)
16. Other
    If you chose other, please specify:
18. Agency*
    -- Select One --Antioch VFDArrington VFDBelfast VFDDudely VFDElroy VFDFremont VFDGoldsboro FDGrantham VFDIndian Springs VFDJordans Chapel VFDLittle River VFDMar Mac VFDMt. Olive VFDNahunta VFDNew Hope VFDNortheast VFDOakland VFDPatetown VFDPikeville VFDPinewood VFDPolly Watson VFDPricetown VFDRosewood VFDSaulston VFDSeven Springs VFDDeymour Johnson AFB Fire ProtectionThoroughfare VFDWayne County EMSWayne County Sheriff's OfficeGoldsboro PDMt. Olive PDPikeville PDFremont PDVillage of Walnut Creek PDCherry Hospital PDWayne Community College PDWayne Memorial Hospital Company PDOther
19. Other
    If other agency:
21. 1. Yes

    1. No

    I would like to receive information and updates that the Office of Emergency Services may send out periodically. I acknowledge that the information entered is true and accurate. An email will be sent once the submitted information has been verified.
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field