Product Registration

Product Registration
Date Purchased*

MonthDayYear
Name

First NameLast Name
Company
A Person's Name is not required if Company name is provided
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Only a Thank You email is sent unless you sign up for our newsletter
Receive Our Newsletter?*

YesNo
How did you hear about us?
Where Purchased*
Enter a Dealer Name or "Direct" if bought from our website
Model Purchased*

Rescue Laser Light - RLL013-01Rescue Laser Flare Magnum - RLFAA024-01Green Rescue Laser Flare - GLF032-01
Manufacture Date (Month and Year is punched on product label):
Mfg Month*
1 to 12
Mfg Year*
4 digits
Serial Number*
On product label under Manufacture Date
What are your interests? (optional - check all that apply)

Boating/SailingKayakingAviationHikingCampingHuntingFishingSkiingSnow MobilingSearch & RescuePolice/Fire/EMTMilitarySurvivalMountain ClimbingOff-Road Vehicles
Comments
Also can be used to add Model and Serial Number for registering multiple units
Should be Empty: