Groton Township Home Safety Order Form

 

Last Name:         First Name: 

Street Address:  

Township:                          City:  

Daytime Phone:           Evening Phone:  

Items:

        Carbon Monoxide Detector            $35.00 

         Smoke Detector                            $ 6.00

        Reflective Sign                              $ 8.00
              Vertical      Horizontal 
                    Number for sign: 

 

Comments:

E-Mail Address:

Once completed, submit the form and a member of the Groton Township Fire Department will contact you to coordinate drop off. 
If you have special needs or need assistance installing safety items, please specify in the comment line above.

 


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This page, and all contents, are Copyright © 2007 by the Groton Township
Fire Department, 9414 Portland Road, Castalia, OH, USA

Last Updated 12/21/07