- Occupant Protection

Northeast Florida DOT District Two Order Form:
4" x 6" full color, two-sided E-Bike Safety Tip Card
FDOT D2 County:*
Agency / Organization*
Contact Name*

First NameLast NameSuffix
E-mail*
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Quantity:*
While supplies last.
How Materials Will Be Used*

Community EventSafety Outreach/EducationTraining/WorkshopNational Campaign/ Enforcement WaveOngoing Display/DistributionOther
Description of event(s), date(s), and anticipated number of participants.
Please allow 5 - 10 business days to fulfill orders.

These materials are provided to you for free by the FDOT District Two Community Traffic Safety Program. We only request that you submit a few pictures of the items on display and/or being distributed. Photos showing your logo or recognizable location are best, and we love pictures that show your team or community members. Thank you for promoting traffic safety in your community.
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