1) Please fill out this brief questionnaire. 
2) Send us the request:

Sending option 1:
Print out the questionnaire and send it to:
          Canandaigua Emergency Squad
              attn: Matthew Sproul
             233 North Pearl St
             Canandaigua, NY 14424
Sending Option 2: Submit your PDF file below. 

Please note: The form you are sending back to us must be signed by hand otherwise it will be returned.

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