2021 DUI - Dive Professional Application

Professional First Responder Giveaway

Notifications for DUI First Responder Specials
Enter your contact information to enter into a drawing for a FREE DUI Premium Drysuit*. Drawing is open to all qualified professional first responders who submit their contact information in the form below. The drawing will be held in May, 2022. Please share this form with other professional first responders. DUI's Professional First Responder Key Person program is now available to all professional first responders in the US. By adding your information, we will notify you of future DUI Professional First Responder Key Person specials.

*Terms: Drysuit for drawing is the base configuration of a TLS350 Classic. Additional options can be added at the winners expense at key person pricing—no cash value unless changing to a different premium DUI drysuit. The winner must be an active professional first responder and show us their status. Volunteers do not qualify for this program. No purchase is necessary to qualify. One entry per person!
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number

Country CodeArea CodePhone Number
Dive Team Affiliation
My Dive Team Currently Uses ________________ Drysuits:
DUI Dealer Number If Available
I am an active employee of the state or a local public agency...*

Peace OfficerFirefighterParamedicEmergency Medical TechnicianOther (specify in comments field)
Comments:
I am a professional first responder for the following agency or municipality:
My Badge / ID:
Gear Guides and Product Price List
Please verify that you are human*
Should be Empty:

Professional First Responder Giveaway