Registration Form

Fill out the form below and send it into the address given at the bottom.
Name (Last, First, MI)
Address
City/State/Zip
Phone
Location(Give specific directions from Ava)(If more than one location, give directions to each location)
Buildings:Residence Barns Other
Water Available Streams Ponds Wells
Special Information

Ava Rural Fire Department
P.O. Box 293
Ava, MO 65608