Request for Demonstration Print this page
Date:________________________
Time:________________________
First Aid Demo:______ CPR Demo:_______ Ambulance to View:_______
Purpose:___________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Contact Name:______________________________________________________________
Contact Telephone:__________________________________________________________
Email address:_____________________________________________________________
Please scan and email this form to: demonstrations@powhatanrescue.com or print form and fax to: Attention: Captain or 1st Lieutenant - Training 804-598-4156.
Please give at least four (4) weeks notice for requests for demonstrations.
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