Davis Eyeglass Program
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.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: October 12, 2018
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