Request a Workplace Safety Presentation

Name of Business/Workplace (required)

Address Line (required)

Location of class (ex: room 210) (required)

City (required)

State (required)

Zip (required)

Contact Name (required)

Contact Phone Number (required)

Contact Email (required)

Preferred day of the week (required)

Tuesday

Wednesday

Thursday

Preferred time of day (required)

If you selected "Other" under the preferred time of day, add the time you are requesting below. Please note - we may not be able to accomodate a training outside of the times listed.

Approximate Number of People attending the training (required)

Our presentation requires a computer and projector. Do you have power and audio visual equipment available for our presenter in the room that will be used for the training? (required)

Yes

No

I don't know

Is your requested training date at least 3 weeks out from the date this request is being submitted? (required)

Yes - please proceed

No - please change the date to accomodate at least 3 weeks notice

Please check the box below to indicate payment type. A $200 fee is required for all workplace safety presentations. (required)

Check - make checks payable to "West Metro Fire Rescue" and add Workplace Safety in the Memo.

Credit Card (we will contact you for payment)

Workplace Fire Safety presentation with digital Fire Extinguisher Training:

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