Davis Eyeglass Program
Choose the appropriate form and click on the icon to download form

Our company is your number one source for professional service. 
.Volunteer & Exempt Firemen's
Benevolent Association
of Lynbrook, N.Y.
Dedicated to Past, Present and Future Members
If you require any additional help in completing the form, please contact one of the Trustees or contact the Benevolent office at 516.593.5806.
This page was last updated: March 26, 2016
There is a $10.00 application and $2.00 dues fee with this application.
There is a $5.00 fee for the Change of Beneficiary
Please Complete Entire Form