Order Form

During an emergency, you may not be able to get food or water for days or weeks, and your electricity
may not be working. Register to win the basic supplies that should be part of your family's emergency
kit. While you may win the basic items for your kit, we encourage you to use the Family Safety Guide
to gather other items that your family may need during an emergency.

We invite you to create your family's plan to be prepared for your next emergency.

Register to Win!

First Name	Last Name
Shipping Address
City	State Zip
Phone	(ex. (000) 000-0000 )

Have you prepared you and your family for emergencies? Yes No

Would you like us to send you a Ready in 3 Family Safety Guide and Family Plan that will help you prepare for emergencies? Yes No

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