As a member of the Whitestone Volunteer Ambulance Corps you may register yourself to be a user of the WVAC Member's Page by filling out and submitting this form. Only registered Corps member's are allowed into the WVAC Member's Page. Choose a username for yourself (such as your last name) and make sure this username contains no spaces. Also create a private password. Together these will be your "key" into the WVAC Member's Page from now on. This information will be kept in a registration database that is accessible only to the wvac webmaster, not to ordinary users.

After you are successfully registered, your web browser will ask you to type in your username and password the first time you try to access the WVAC Member's Page. The browser will remember this information for as long as it continues to run, so you can access any document in the WVAC Member's Page without being asked for it again.

Form Submission

First Name:
-- enter your first name

Last Name:
-- enter your last name
Date of Birth:
-- enter your birth date

Make up a username:
-- you can use mixed case

Make up a password:
-- keep this private!

Enter password again:
-- for verification

Enter e-mail address:
-- if you have one

 Return Home

Copyright © 20002 Whitestone Community Volunteer Ambulance Service Inc.
 All rights reserved.
Revised: September 06, 2002 .