About You
| WE ARE CURRENTLY REPRINTING OUR CATALOG.PLEASE FILL OUT THE INFO BELOW AND WE WILL SEND YOU A CATALOG VIA EMAIL, AND ANSWER ANY QUESTIONS YOU MAY HAVE.THANK YOU FOR YOUR INTEREST IN BRATWEAR. | ||
|
Rank/Title:
|
First Name: Last Name: |
|
|
Agency:
|
||
|
Dept. Address:
|
||
|
City:
|
State: Zip Code: | |
|
Phone:
|
Fax: | |
|
E-Mail:
|
Dept. Web Site: | |
| If a request is made to send a catalog to a home address, indicate below. YOU MUST INCLUDE THE DEPARTMENT INFORMATION FOR OUR RECORDS. |
||
|
Home Address:
|
||
|
City:
|
State: Zip Code: | |
|
Phone:
|
Other Contact Number: | |
Do you currently have a bicycle patrol?Yes No
If yes, what uniform brand do you wear?
Is your department considering a new uniform?Yes No
If yes, what will influence your decision to purchase Bratwear?
How did you hear about us ?
Additional Comments:
Thank you!