Bullard, the leader in thermal imaging for the fire service, provides free instruction and support that will help local leaders plan and execute effective thermal imager fundraising campaigns. To receive your inSIGHT fundraising kit, please complete the following form.



Contact Information for Fundraising Leader Date:
Will you manage the fund raising campaign? (If not, please list contact information for fundraising leader)
 Yes      No
Name of Fundraising Leader:
Title of Fundraising Leader:
Name of Organization:
Address:
City, State
 ,
Zip Code:
Primary Daytime Phone Number (10 Digits):
Secondary Daytime Phone Number (10 Digits):
Primary Email Address:
Secondary Email Address:
 
Fire Department Information
Fire Department to receive thermal imagers (if same as above, write "same")
Type of Fire Department: Volunteer     Paid     Combination
Number of Fire Stations in Department:
Number of Firefighters in the Department:
Approximate Population the Department Serves:
 
Questions
1) How did you first hear about the inSIGHT program?
Bullard Website
Fire Equipment Distributer
Bullard sales manager/employee (please list Employee name)
Bullard Get The Picture newsletter
Fire trade magazine (please list publication)
Local fire department recommendation
Promotional Mailing received at my department
Other (please list)
2) Does your department currently own thermal imagers?
 Yes      No How many? What Brand?  
3) How many thermal imagers does the department want to purchase with donated funds?
                   


Regardless of your method of registration, you will receive materials within two weeks of contacting Bullard.