Sound the Alarm - NYC Appointment Request / Activa tu Alarma - NYC Solicitud de cita
Dear Resident, As the impact of COVID-19 continues to unfold, we have decided to postpone all Sound the Alarm events, including smoke alarm home visits, and preparedness presentations until further notice. We apologize for the inconveniences. We hope to be able to share new dates for an installation for your home soon.
First Name / Nombre *
Last Name / Apellido *
Cell Phone Number / Número de Teléfono *
Please enter only numbers e.g. 9291234567, no spaces, - , ( ) / Ingrese solo números, no espacios, - ,( )
Email /Correo Electrónico
Time of appointment *
Please select one or more times you are available
Street Address / Dirección *
e.g. 520 West 49th Street
Apartment / Apartamento
e.g. 4, 4R, A
Borough / City *
Zip Code / Número Postal *
Is this a New York City Housing Association (NYCHA) building? / ¿Pertenece su edificio a la asociación de vivienda de la ciudad de Nueva York (NYCHA)? *
Where did you hear about this campaign? / ¿Dónde se enteró de esta campaña? *
Notes / Notas
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy