Apply to Win a New Fire Extinguisher

If you recently used a fire extinguisher safely and effectively during a fire emergency, fill out the the form below and submit it for a chance to win a new fire extinguisher.

Upload a Personal Photo (Not Required):
I certify that the above statements are true and hereby grant www.fireextinguisherssavelives.org permission to use this information and other related information and images in exchange for a new fire extinguisher, and no other payment or consideration, if my story is selected for use.