> Home > City Services > Public Safety > Emergency Program > Awareness and Education > Request A Presentation

City Services

Was this page helpful? Yes | No

Request A Presentation

Please complete this form to submit your request. If you require assistance, please contact the Burnaby Emergency Program Office by email at getprepared@burnaby.ca or by telephone at 604-294-7097.

Page 1 of 1
Requestor’s Contact Information
Required
Required
Required
Required
Required
 
Presentation Information

Type of Presentation Requested

Pick date
: Clear selection
Pick date
: Clear selection
Pick date
: Clear selection
Pick date
: Clear selection
Required
Required
Venue Information
Required
Required
Additional Information or Requests