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Smoke/CO Detectors
Smoke/CO Detector Program
Please complete the form below if you are interested in the fire department installing a free smoke/CO detector in your home.
Smoke/CO Detector Enrollment Form
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Indicates required field
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Email
*
Property Type
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Own
Rent
Choose any of the following appliances in your home:
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Gas Cooking Stove
Gas Furnace or Gas Heat
Gas Hot Water Heater
Gas Fireplace
Gas Dryer
Electric Cooking Stove
Electric Furnace or Electric Heat
Electric Hot Water Heater
Electric Fireplace
Electric Dryer
Wood Fireplace
Please choose an installation time. If none of the following work for your schedule please select "other" and leave a comment below.
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Wednesday evening after 7:00 PM
Friday
Saturday
Other
Comment
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