Skip to Main Content
Loading
Loading
Search
Government
Residents
Business
Engage
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
City Secretary
Economic Development
ePayment Forms
Fire Dept
Fire Marshal
Human Resources
Library
Parks and Recreation
Police Department
Public Works
Utility Billing
By
signing in or creating an account
, some fields will auto-populate with your information.
Gift of Christmas Barrel Request
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
GIFT OF CHRISTMAS BARREL DONATIONS
As a representative for my place of business/ organization I am requesting DPVFD to contact me and schedule a time for a Gift of Christmas Barrel Deliver/ Pick-up as indicated below.
BARREL REQUEST
*
DELIVERY
PICKUP
Date and Time Requested
*
Date and Time Requested Start Date
Date and Time Requested Start Time
—
Date and Time Requested End Date
Date and Time Requested End Time
How Many Barrels?
*
-- Select One --
1
2
3
4
5
Name of Business/ Organization
*
Contact Name
*
Contact's Title
*
Address1
*
City
*
State
*
Zip
*
Phone Number
*
Disclaimer
Please note that this is a request and not a guarantee. You will be contacted by a DPVFD representative to confirm and approve your request.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
Submit and Print
* indicates a required field
Agendas & Minutes
Employment Opportunities
Report A
Concern
Enroll for Notifications
Public
Notices
City
Ordinances
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow