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