Sedgwick County, Kansas CERT 1900 E. 9th Street | Wichita, KS 67214 Volunteer Update Form

Already a CERT member?  Have you recently moved or changed your phone number?  Use this form to send us you updated information so that we can keep in touch with you.

First Name:    Last Name: 

Previous Address: 

New Address: 

City:    State: 

Zip: 

Phone numbers:
Please include the area code for the phone numbers listed.

Current Home:
Current Work:
Current Cellular:
Current Pager:

E-Mail: 

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last update: 08/18/06
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General Information CERT Overview Frequently Asked Questions Volunteers Volunteer Form Resource Links Citizen Corps USA Freedom Corps Sedgwick County Emergency Management Adobe Acrobat Reader Required   Sedgwick County  Community Emergency Response Team 714 N Main Wichita, KS 67203 (316) 660-5959