Fire Company Address:
18 East Wall St, Leesport, PA 19533

Fire Company Phone Number:
610-926-4090 (Emergencies Dial 911)

For general requests / questions please fill out the form below. 
Note:Anyone or business looking to request to have the Fire Department participate in a event please use Public Relations Request When filling out the form.

Contact Form

Your Name *

Email Address *

Phone *

Organization

Contact request type (select option that best fits) * Select an option:Public relations requestWeekly Bingo125th anniversary apparel question/concernHelping the department/Making a donationEvent questionOther

Are you interested in helping the department in any way? *

Yes

No

What type of contribution are you interested in? *

Time (volunteering)

Monetary donation

Goods or supplies

Other (Please specify)

You previously indiciated "other", Please explain. *

Monetary Donations *

Event Name *

Please provide the name of the event you have a question about.

Please enter the date and venue *

What is the purpose of the event/venue, Please provide all necessary information regarding the event/venue. Also please provide how you would like to utilize fire company equipment/vehicles/personnel at your event. *

Please enter the start time of the event *

121234567891011 : 0030 AMPM

Please enter the end time of the event *

121234567891011 : 0030 AMPM

Are you requesting to utilize fire company equipment *

Yes

No

Please enter what equipment you are requesting (Ex Portable Lighting) *

If you wish to provide more information regarding the event/venue please enter it below.

Comments *

If you are human, leave this field blank.

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