Larimer County Juvenile Gun Safety
Supply Request Form
Larimer County Juvenile Gun Safety Coalition
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***PLEASE NOTE THE FOLLOWING: Supplies provided by Larimer County Juvenile Gun Safety Coalition, including gun locks, are NOT FOR RESALE. Also, while we would like to provide organizations with as many supplies as requested, we have a limited stock and we reserve the right to provide an amount less than what is requested.***
Date of Request:
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Name of Person Requesting Supplies:
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Email Address:
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Phone Number:
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How do you prefer to be contacted?
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-- Select --
Email
Phone
Name of Business or Organization:
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Address of Business/Organization:
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Please provide a brief explanation of your purpose and how you intend to use the requested supplies:
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500 characters available
GUNLOCKS
Gun Locks
RACKCARD
Rack Cards
POSTERS
Posters
Number of Gun Locks
Number of Rack Cards:
Number of Posters:
Do you prefer pick-up or delivery?
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--Select --
Pick-up
Delivery
We will contact you via your preferred contact method to arrange a time for pickup. Our offices are open Monday - Friday from 8:00am - 4:30pm excluding County holidays. Thank you.
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