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If you are interested in having your event covered by an EMT or one of our crews, please fill out the form below and we will get right back to you!
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Event:
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Date of Event:
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Contact Name:(*)
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Contact Phone:(*)
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Email:(*)
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Duration of Event:
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Location of Event:
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Service Requested:
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Service Requested:
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* Please submit form 2 weeks before your event to ensure adequate coverage. We will do the best we can to accommodate any requests made in less than 2 weeks.
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(*)
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