Heat Alarm Application
**We are currently only accepting applications for 2021 or higher year vehicles.**
Have you applied for a heat alarm through another organization?
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Yes
No
If "Yes," which one(s)?
Is your agency/supervisor aware you are applying and can accept this as a donation to the agency under your department/city/county policies and procedures?
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Yes
No
Handler Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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-
Area Code
Phone Number
Department Name
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Department Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
K9 Name
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K9 Breed
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K9 Age
*
K9 Weight
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Male or Female
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Male
Female
K9 Duties
*
Photo of K9
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of
Vehicle year, make, and model
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Is your department willing to pay installation fees?
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Heat alarms are made to order fit to the year of the vehicle. It is not typically a one size fits all. We are currently only accepting applications for 2021 or higher year vehicles for heat alarms. By submitting this application you are aware that any incorrect information in regards to this may result in the department or individual submitting this will be responsible for the invoice the foundation is covering to assist the department. It is important that the correct year model is entered.
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Yes, all information is accurate and correct and acknowledge any misinformation may result in the agency or myself being responsible to cover the cost.
Signature
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Please read important information below
By submitting this form, you are aware that GPK9F will possibly contact media outlets for press releases and potentially making social media platform posts to raise awareness.
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