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