Client Rescue Event

Client Rescue Event

Feedback Form
Attention:

Please provide details of your rescue event to help us expedite the return of your equipment and to give us valuable feedback about your real-life rescue event. All participants involved will receive a customized TSL Jacket and a challenge coin in recognition of the hero—or heroes—who took part in the rescue.
Did the person filling out this form participate in the rescue event?*

YesNo
Company Name*
Contact*

First NameLast Name
Email Address*
Phone Number*
Format: (000) 000-0000.
Shipment Address for New Equipment*

Street Address

Street Address Line 2

CityState / Province

Zip CodeCountry
Rescue Event Details
Please describe the rescue scenario and provide any feedback from the event.*
Rescue Kit(s) used for the Rescue*

SRK-15SRK-11SPARKBEKPONYARKHEKVLKOther
Rescue Kit(s) Serial #s*
Number of participants involved in the rescue:*
Upload any photos of the rescue or the equipment involved that you would like to share:

Cancelof
TSL Jackets
List the jacket sizes for all rescue participants:
Small, Medium, Large, XLarge, and/or XXLarge
Is the shipping address for the jackets the same as the address for your new equipment? If not, please provide the alternate shipping address where TSL should send your jacket(s) and challenge coin(s):*

YesNo
Ship jacket(s) to:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Permission to Share
Tech Safety Lines would like to share your rescue story to help raise awareness about the importance of Rescue Kits and Training. Please indicate whether you agree or disagree. If you have specific guidelines regarding what can or cannot be shared, include them in the remarks section below.*

AgreeDisagree
Remarks
Should be Empty:

Client Rescue Event

Attention:

Rescue Event Details

TSL Jackets

Permission to Share