Almeda Fire Mutual Aid Request Form

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Almeda Fire Mutual Aid Request Form

For folks in Talent, Oregon, needing water, food, a place to charge a phone, supplies or assistance, please fill out this form and submit. This service is brought to you by volunteers with non-profit organizations Rogue Action Center, Rogue Climate, Talent Maker City in conjunction with the City of Talent.

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* Indicates required question

Your Name *

Your answer

What do you need? *

Bottled Water

Food

Charge my phone

Other:

Required

Your address, or a description of your location *

Your answer

A phone number we can reach you at, or leave a message

Your answer

Your email address, or an email we can reach you at

Your answer

Anything else we should know?

Your answer

Submit

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