U.S. DUTY GEAR T&E From

U.S. DUTY GEAR - T&E Form
Rep Name & Group:*
Please type your name and company
Law Enforcement Department:*
Requesting Officer/Agent:*
Ship/Billing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
HOLSTERS
Quantity*
Gun*
Mounted Light*
YesNo
Optic*
(Level 2) US-10 SRH Gun(Level 2) US-20 SRH Gun + RDS (RDS Covered)(Level 2) US-30 SRH Gun + RDS (RDS Exposed)(Level 2) US-40 SRH Gun + Light(Level 2) US-60 SRH Gun + Light + RDS (RDS Exposed)(Level 2) US-80 SRH Gun + Light + RDS (RDS Covered)(Level 3) US-210 SRH/SRS Gun(Level 2) US-211 SRS Gun(Level 3) US-220 SRH/SRS Gun + RDS (RDS Covered)(Level 2) US-221 SRS Gun + RDS (RDS Covered)(Level 3) US-230 SRH/SRS Gun + RDS (RDS Exposed)(Level 2) US-231 SRS Gun + RDS (RDS Exposed)(Level 3) US-240 SRH/SRS Gun + Light(Level 2) US-241 SRS Gun + Light(Level 3) US-260 SRH/SRS Gun + Light + RDS (RDS Exposed)(Level 2) US-261 SRS Gun + Light + RDS (RDS Exposed)(Level 3) US-280 SRH/SRS Gun + Light + RDS (RDS Covered)(Level 2) US-281 SRS Gun + Light + RDS (RDS Covered)
LeatherBasketweaveSDRSDR PlainSDR High GlossSDR Coyote BrownNylon LookMultiCamMultiCam TropicWolf GrayMultiCam Black
RightLeft
Mid-RideLow-RideDrop Leg
Holster Notes
DUTY GEAR
Please add here the Duty Gear products requested
30 days60 days90 days120 days
If over 90 days please explain:
Purchase Type Opportunity:*
Should be Empty:

U.S. DUTY GEAR - T&E Form