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FIRE PREVENTION
"WORKING TO KEEP
YOU SAFE"
Application for FREE Smoke Detector
Full Name
Phone Number
Address
Number of children (0-18 yrs) living in the home:
Number of adults (19-61 yrs) living in the home:
Number of seniors (62 yrs and over) living in the home:
Do you currently own a smoke detector?
Yes
No
Do you own or rent your home?
Own
Rent
Lease
If you have further questions concerning this program please call (603) 623 - 7272.
All Content Copyright; 2005-Present
All Rights Reserved
Hooksett Fire - Rescue Department - 15 Legends Drive - Hooksett, NH 03106
(603) 623-7272 (603) 626-6742 fax
INFORMATION
Updated December 8, 2011
