EMS Aid/FireAid

Equipment Donation
Contact Information

Name

email

Department Name

Street Address

Address Line 2

City

State

Zip

Phone1

Phone2

Phone3

Fax

Pager

Alternate Email

Note: Your Name, email and at LEAST two phone numbers are required.

Equipment/Material To Be Donated:

Tanker

Pumper

Rescue

Ambulance

KED

Backboards

Stair Chair

Gurney

SCBA

PPE

Hose

Radios

Hand Tools

Light Bars

Fittings

Adapters

Nozzles

Wildland PPE

Rescue Tools

Cylinders

Other

Privacy Policy

We use the information you provide us to assess how we can help you and other departments. We do not share your information with any other organizations without your express permission.