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Life Jacket Request - Events
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Email
*
Record my email address with my response
Date of Event:
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MM
/
DD
/
YYYY
Event name and description
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Your answer
Event Location:
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Your answer
How many people do you expect at the event?
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Your answer
Quantity of Life Jackets Requested per size:
Child (30-50lbs)
Youth (50-90lbs)
Adult (90lbs +)
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Your answer
Event Contact Information (Name, email, phone number):
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Your answer
Shipping Address:
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Your answer
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