(*While Supplies Last*)
Golder Ranch Fire District is offering FREE battery operated smoke alarms to GRFD Residents.
Please fill out the form below and we will contact you to set up a time that is best for you.
Name *FirstLastAddress *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *E-mail *Home InformationPlease check all that apply:Type of home: *Single Family ResidenceTwo-storyDuplexApartmentTrailerNumber of bedrooms:Features of the home: Gas Stove Gas Furnace Gas Water Heater Gas BBQ stubGas FireplaceAttached Garage Working Fire ExtinguisherDo you have smoke alarms in the home? YesNoHow many?Are they:Hardwired BatteryI don't know Do you have a carbon monoxide detector? YesNoHow many?What would be the best Date / Time for you to have your Home Safety Review done?DateTimeMessageSubmit
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