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Welcome to the City Of Monroe, MI, Action Line

Today is Saturday, November 21, 2009.

Request a Fire Education/Training Event

WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911 or call 734-243-7070.

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The City of Monroe Fire Department conducts educational and training events for public as part an ongoing commitment to community health and public safety. Please use this form to request one of our training or educational programs for your school or community group.

Programs sponsored by the City of Monroe are normally free of charge.

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone:	() –
Address:
City:
State:
ZIP:

Preferred Event Location:

* Address:	- Or Other Not Listed -
Unit:

	Please provide any additional information available regarding the event location.

Type of program or event desired.

Station Tour

CPR Training

Fire Safety Talk

Fire Extinguisher Training

Blood Pressure Check Program

Other (List Below)

Your preferred date for the event.

Your preferred time for the event.

Anticipated number of participants.

What is the preferred method to contact you with further questions if necessary.

Telephone

E-Mail

US Mail

Please list any additional comments or questions that you may have.

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.