MCEMS Service Request
Please fill out this form 2 weeks prior to the event you would like covered to give us adequate time to plan and arrange for stand-by coverage.
What is the name of the event?
When is the event?
Please include event date and desired coverage time.
Where is the event being held?
How many people are expected to attend this event?
Please leave an address e-mail we can get back to you at.
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