REQUEST for OPERATION LIFESAVER PRESENTATION in RHODE ISLAND

.... Note: This form may also be used to request a RR safety train trip for your group.

Your name?

Location of event, school, organization

Date of proposed event?

City and State of event?

Phone number & fax number?

Your email address please:

Do you have AV equipment?

Referral: Contact person, phone ~ optional?

Number of persons & age level attending an event
Fair, Show, or School. Include faculty members.
 

 

 

 

 
Free comment area:
Special information or details you wish to mention.
 Attn: State of RI Coordinator,

 

 
 Operation Lifesaver in Rhode Island c/o FOKS Inc.
P.O.Box 191, West Kingston, RI,02892-0191
 We will contact you ASAP, usually within 24 hours.