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2. Name*
3. Telephone Number*
5. I would like:

   1. To visit the fire station
   2. For a fire truck to come to my home/school
   3. To have a birthday party at the fire station
   4. To have a fire truck attend an event
7. Additional Comments
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9. 1. Receive an email copy of this form.
10. Email address

    This field is not part of the form submission.

11. Submit

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