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Request for Safety Demonstration
Safety Demo Request
Thank you for your interest in Riverland Energy's free electrical safety demonstration. Please fill out the following information, and your presentation time will be confirmed as soon as possible. If you have any questions, please contact Beth at 608-409-7052, or
balesch@riverlandenergy.com
.
Safety Demo
Contact Person
Name of School or Group
Email
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Date and Time of Event
Date and Time of Event: Date
Date and Time of Event: Time
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How many students/participants will be in attendance?
Where should REC presenter report and/or set up?
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