Equipment Request Form

Thank you for considering submitting an equipment request to Blue Line Jars. We want to inform you that as a non-profit, we may need to actively fundraise in order to acquire the equipment you are requesting. Are you able to grant us permission to fundraise on your behalf for this equipment?

YESNO
Are you applying for yourself?

YESNO
Handlers Name*

First NameLast Name
Handler's Title
Department
Phone Number*
You will be contacted via text message. Please provide number that can accept texts
E-mail*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Requested Equipment

Narcan KitBallistic Vest - LOF DEFENCE - K9 ENFORCER VESTMedical BagOther
If selected other please describe here:
K9 Information
K9 Name
Breed
Age
What is your K9 certified in

Patrol/Dual PurposeTracking/Scent Detection(GSR, Explosives, etc)Search and Rescue
Short Bio of K9
Please upload photo of K9.

Can be with/without you!
Cancelof
Any other information you'd like to provide?
Donation Terms
DONATION TERMS

Terms & Conditions

As part of the donation we ask that the following steps be completed.

We are requesting a press release to be shared on social media platforms by your department and or K9's social media page(if applicable) to raise awareness of our operations, which rely heavily on donations. Please provide a photo of your K9 with requested equipment upon arrival.

You are more than welcomed to use the template we have as well
Signature

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K9 Information

Donation Terms