This form is intended for donations of Fire/EMS equipment that will be distributed to fellow Firefighters around the World. None of your donations will be issued in the USA. Please print a copy for your records....
Phone:
Where are you from (Prov/State/Country)?
Name of Fire Department
Type of Items:
Last, First Name:
Title:
Email:
Any Comments or you can put the number of each item here if you want...:

Important

Please fill out all the spaces provided. The more information we have the faster we can assist.

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