Brookville OH CERT

Volunteer Registration Form
CERT home

Thank you for your interest in becoming a part of CERT. As a CERT volunteer, you will be in the position to perform a valuable service to your community in the event of a disaster. Your participation in this course is the first step toward making your community a safer place to live.

  Enter your request in the space provided below:

  Tell us how to get in touch with you:

Name
Address:
City
State
Zip
E-mail
Tel home
Cell
Please contact me as soon as possible regarding this matter.

Harmony Consulting
Copyright © 2004 Brookville CERT. All rights reserved.
Revised: February 03, 2009 .