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Paul J. Merrill
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Does your organization or school need helmets for an upcoming event?
If you would like us to provide helmets at your next event please complete the following form.
Contact Name
*
First
Last
Email
*
Phone
*
Organization or School Name
*
Address
*
Street Address
City
ZIP Code
Event Date
*
Date Format: MM slash DD slash YYYY
Helmet Type(s)
*
Purple Bicycle Helmet
Black Bicycle Helmet
Black Skateboard Helmet
Quantity
*
Officer
*
Are you working with an SAPD officer?
We are working with an SAPD officer
We are NOT working with an SAPD officer
Officer Name
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