www.bullard.com/V3/products/thermal_imaging/fire_service/SALC/application.php
SALC Program Application
* Required Field
| Submitter Information | |
| * Date of Submittal | |
| * Contact Name | First:
Last:
|
| * Contact Title | |
| * Contact E-mail Address | |
| * Fire Department | |
| Street Address | |
| City, State | ,
|
| Zip Code, Country | ,
|
| * Phone | Area Code: () Number: Ext.: |
| Incident Details | |
| * Date of Incident |
|
| * Thermal Imager Used | |
| * Please list the firefighters you would like to submit for recognition (include name and rank, one person to a line). | |
| * Please provide your best description of what happened in the incident and how a Bullard Thermal Imager helped these firefighters save a life. | |
| Supporting Documents (if available) | |
| If you have any photos or other supporting documents you wish to include, you may attach them here. Please keep file size under 500K each. | |
| Document #1 | File to upload: |
| Document #2 | File to upload: |
| Document #3 | File to upload: |
A Bullard representative will contact you within two weeks to inform you of the status of your Save A Life Club application. If you have questions about the program, please e-mail deborah_puracchio@bullard.com.
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