SafeWrap™ System Inquiry Form

To learn more about the SafeWrap™ system for your organization or company, please fill out the following inquiry form. This will help us understand your needs and provide you with the most relevant information.

• Organization Details

  
• Company Name
  

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• Type of Organization (e.g., Law Enforcement, Healthcare, Educational Institution, etc.)

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• Number of Employees

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• Location

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• Contact Information

  
• First Name

  Last Name
  

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• Position/Title

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• Work Phone

  Work Extension
  

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• Email Address
  

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• Interest and Requirements

  
• What prompted your interest in the SafeWrap™ system?

  Safety Improvement

  Training Enhancement

  Compliance with Regulations

  Other (Please specify below)

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  Safety Improvement,Training Enhancement,Compliance with Regulations,Other (Please specify below)
• Other (Please specify)

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• Do you currently have any certified SafeWrap instructors?

  Yes
  

  No
  

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• Are you interested in the free 12-month licensing term?

  Yes
  

  No
  

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  Make Required
  

• Training and Implementation

  
• How many hours of hands-on training can you provide annually?

  Less than 4 hours
  

  4-8 hours
  

  More than 8 hours
  

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  Make Required
  
• Will your organization be able to conduct quarterly reviews of instructional videos?

  Yes
  

  No
  

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  Make Required
  

• Additional Information

  
• Please provide any additional information or specific questions you have about the SafeWrap™ system.
  

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• Once submitted, we will review your inquiry and reach out to connect with you.

  

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