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Contact Info:

Flash Fire Industries

(203)-258-8984

1. Address

Name*

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address*

Phone Number*

2. What type of department do you work in?

Career

Volunteer

Combination

Other (please specify)

Other Type of Department

3. If volunteer, do you have a specific drill night?

4. Which type of service are you looking for?

A class for my department where Flash Fire provides the instructors

A rental where my department will provide the instructors

I am not sure.

Other (please specify)

Other Service

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5. Topics of Instruction (check all that apply)

6. Products

Are you interested in learning about any of the following products that we are a distributor for through Strategic Safety Dynamics?

Products are on state contract. (Check all that apply)