SUMMIT FIRE DISTRICT
                                                                      8905 N. Koch Field Road
                                             Flagstaff, AZ 86004
                                          Phone: (928) 526-9537      
                                           Fax:  (928) 526-2750               
                          


                           SUMMIT FIRE THROW/BLANKET ORDER FORM



            I would like to order   _____   Summit Fire Blankets.


           The cost will be determined after the order arrives.  Price is $29.00 per blanket.


           Name:                                                                                                             

           Address:                                                                                                        

           City:                                                     , State:               Zip:                         
                                                             
          Phone Number:    ______________________


           You may fax or email your order:

                           Fax:  (928) 526-2750
                           Email:  jbenninghoff@infomagic.net


                    Blankets will be paid for upon distribution.

Photo of Blanket/Throw