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| Date of Entry | What type of activity are you reporting? | Enter address of fireworks activity: | Enter cross streets of fireworks activity: | Additional comments: | Upload screenshots/images of illegal fireworks advertisement(s) here: | Enter your email: |
| Date of Entry | What type of activity are you reporting? | Enter address of fireworks activity: | Enter cross streets of fireworks activity: | Additional comments: | Upload screenshots/images of illegal fireworks advertisement(s) here: | Enter your email: |
