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2. Please use this form to sign up to receive information about the free installation of smoke detectors and Carbon Monoxide detectors.
4. The Agawam Fire Department will use the information you provide to contact you in the near future to schedule installation of free smoke detectors and Carbon Monoxide Detectors.
6. Program eligibility: You must be a resident of Agawam or Feeding Hills, you must own and reside in the residence, current Smoke detectors / CO detectors must be absent or greater than 10 years old, you must allow Agawam Fire Department personnel into your home to install the free detectors.
8. First Name*
9. Last Name*
11. Phone Number*
13. Address (number and street)*
15. City*
    -- Select One --AgawamFeeding Hills
17. Email Address
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19. Submit

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