SENIOR SMOKE DETECTOR PROGRAM

ROTARIANS AT WORK

Six Clubs of the San Ramon Valley

925-838-5133

www.FireDepartment.org

SMOKE DETECTOR BATTERY SIGN-UP SHEET

Yes, please sign me up to have the batteries in my smoke detector changed

# of 9v batteries needed

I do not have a smoke detector and would like to have (up to 3) donated and installed by the Rotarians

# of new detectors needed

Yes, i am interested in having my smoke detector batteries changed, but will be unavailable on April 24th. Please put my name  on a list for a future date to be announced.

Your name

Your address

Your phone number

or download Info and Form