First Name: * Request Type: Cost: Last Name: Company: Address 1: Address 2: E-Mail: Phone:   * * * * * * * Fax: * = Required Information. Project/Business Name: Project Address 1:  Project Address 2:   Please confirm your project address is within the city limits of Winston-Salem  City:State:Zip:City:State:Zip: Customer and Project Information Entry - (one request at a time) Format: ###-###-#### Format: username@domain.com   Please contact Fire Department personnel at (336)734-1290 if you have any questions concerning the fees or this process. If property is not located in the city limits, DO NOT COMPLETE this form. Contact Forsyth County Fire Deprtment: 336-703-2550
 
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