Display Speaker Request

This is a request for display, presentation or appearance by the Tallahassee Fire Department. There are availability limitations and as a result, requests will be filled in on a first come, first serve basis. You will be notified if the request can be filled.

If you have any questions, please call us at 850-891-6629.

Requestor Information

First Name:
Middle Initial:
Last Name:
Phone Number: XXX-XXX-XXXX i.e 850-555-5555
Email:
Organization Name:
Address:

City:
State:
Zip
Phone Number: XXX-XXX-XXXX i.e 850-555-5555

Event Information

Day/Date of Event: (mm/dd/yyyy) i.e 09/01/2006
Time of Event: (hh:mm tt) i.e 7:30 PM (Available hours are from 9:00 am to 6:00 pm and 7:00 pm to 9:00 pm, Sunday through Saturday. There is a 2-hour maximum time limit for events. Additional time must be pre-approved.)
Location/Address of Event:
Type of Event:	Station Visits Truck Displays Recruitment/Career Fair Speaker Public Education Sparky Visit Fire Extinguisher Demo Other (please explain:)
Expected Number of Attendees:
Approximate Age Range of Attendees:	to

Event Contact Information

Name:
Middle Initial:
Last:
Phone Number: XXX-XXX-XXXX i.e 850-555-5555
Email:

Additional Information about the Event:

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Display Speaker Request