Form Center

2. 
3. The Fire Marshal’s Division offers extinguisher training to City of Westland residents and businesses. Request training through this form.
5. All information provided in this form is subject to Freedom of Information Act requests subject to State law.
7. Group / Organization / Business / Event Name*
9. First Name*
10. Last Name*
12. Street Address*
14. City*
15. State*
16. ZIP Code*
18. Phone Number
19. Email Address
21. Preferred Contact Method

    1. Email
    2. Mail
    3. Phone
23. How many individuals will participate in the training?

    1. 5 to 10
    2. 11 to 20
    3. 21 to 30
    4. 31 to 40
    5. 41 or More
25. What date would you like to schedule your training?
    What date would you like to schedule your training?
26. What is your preferred time for conducting training?
    What is your preferred time for conducting training?
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field