OFFICE OF
CIVIL DEFENSE & FIRE COORDINATOR
County Services Complex
2714 State Highway 29
Johnstown, New York 12095
Steven J Santa Maria TELEPHONE: Office: (518)736-5858
Civil Defense Director/Fire Coordinator FAX: (518)762-4938
The Fulton County Fire Coordinator’s Office is pleased to provide our community with fire safety and community
preparedness presentations.
To schedule a presentation for your organization, please complete this form and submit it.
Name: ______________________________________________________________
Phone Number: ______________________________________________________
Email Address: _______________________________________________________
Organization: ________________________________________________________
Presentation Date: ____________________________________________________
Start Time: _____________________________
End Time: ______________________________
Presentation Location: ____________________
Audience Type: __________________________
Special Concerns or topics you would like covered:
___________________________________________________________________________________________
___________________________________________________________________________________________
