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CERT Application
Town of East Bridgewater, Massachusetts Community Emergency Response Team (CERT) Training
I would like to register for the eight-session CERT training and would like to attend:
¨
As published
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I am unable to attend the training at this time but please contact me about future CERT training.
Please Print Clearly:
Name:
Street Address:
City:
State:
Zip:
Telephone (Day):
(Evening):
Email at which you want to receive CERT information:
Please return this form (one registration per form, please) to:
Lt. David A. Repeta
East Bridgewater Fire Department
268 Bedford Street East Bridgewater, Ma 02333
or fax to 1-508-378-1627
Questions may be directed to:
drepeta@ebfire.org
For more information about the East Bridgewater CERT program, go to
www.eastbridgewaterma.org
/Public_Documents/EBridgewaterMA_Fire/CERT%20Index