EMT Tom Long Jr.

If you are a current or former public safety professional, prepend your rank or title before your name.
i.e. “FF/EMT-B John Smith” or “Officer Jane Doe”
If you are no longer actively serving, append the appropriate title to your name.
i.e. “Lt. John Smith (Ret.)” or “Paramedic Jane Doe (Frm.)”

Your relationship to EMT Tom Long Jr.
i.e. “Friend & Colleague” or “Father-in-law” or “Brother EMT” or “Former Classmate”

If you are a current or former member of a public safety agency, you may enter the agency name here, followed by the 2 letter state ANSI code enclosed in parenthesis.
i.e. “Hometown Police Department (IN)” or “Hometown Fire & Rescue (KY)” or “Hometown E.M.S. (MO)”

Where you are visiting us from.
i.e. “Rolla, MO” or “Cheshire, UK”

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Your personal tribute to EMT Tom Long Jr.

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