Contact

Name:   

Home Phone:   

Address:   

Work Phone:   

Cell Phone:   

Email:   

Group

NCPC, Homeowner’s Assoc. etc:   

How many will attend?:   

Meeting Place

Name of Recreational Center, Library, Church, Room Number:   

Street Address:   

Does the meeting room have a:    TV?
DVD Player?

Request Date

Day of the Week:   

Month/Date:   

Time of Event:   

Presentation - Start & End Time :   

Information the group needs – Prioritize your top 4 choices:

Overview of The Wildfire Prevention Assessment District
Benefit Fee (Goats, Contractors, Inspections)
New Codes, Compliance Standards & Requirements
The Free Chipping Program & "A Block Chipping Party"
Preservation of Endangered Species
Red Flag & Save the Air Days
Fire Safety in the Home
Emergency Evacuation & Referral to CORE
Resources – Numbers & Websites
Other