Please fill out this form to request the Region 2 Burn Trailer at your local fire department. Fire Department * Contact Name * First Name Last Name Rank * Email * Phone * (###) ### #### Billing Email Address * Invoices will be sent via email. Fire Department or Training Site Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Requested Start Date * MM DD YYYY Completion Date * MM DD YYYY Burn Operator * Please list the member that will be fulfilling the role of Burn Operator that has completed training on trailer use through Kidde. First Name Last Name Thank you for submitting a request to host the Region 2 Burn Trailer at your fire department. We will be reaching out shortly to confirm availability and schedule delivery!
