KERN RIVER VALLEY

FIRE SAFE COUNCIL

Data Request Form

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Use this form for requesting a chipper day or for any information you may require from the FireSafe Council.

Name
Title
Organization
Work Phone
FAX
E-mail
Project Name
Select date for Chipper Day, with alternatives
Number of participating households, if applicable
Number of community volunteers, if applicable

This form is also available as a Microsoft Word Document. Click here to download
What are Chipper Days      Chipper Day Guidelines    Project Application

Form to be submitted after your Chipper Day  (Word document)

Kern River Valley Fire Safe Council ● PO Box 633, Kernville, CA 93238

General information: Lloyd Smith ● (760) 377-3542

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Site last Updated On: 05/27/2011