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Black Eagle Athletic 2.0 T High Side Zip Field Test
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Profession
(Required.)
Fire
EMS
Law Enforcement
Military
Forestry
Civilian
Other (please specify)
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4.
Contact Information
(Required.)
Email Address
Phone Number
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5.
Employer Information
(Required.)
Employer Name
City
State/Province
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6.
Shipping Street/City/Zip
(Required.)
Street
City
Zip/Postal Code
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7.
Shipping State/Province
We cannot ship to P.O. boxes.
(Required.)
AB
AK
AL
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MI
MN
MO
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
QC
RI
SC
SD
SK
TN
TX
UT
VA
VT
WA
WI
WV
WY
YT
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8.
Country
(Required.)
Canada
United States
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9.
Boot size
Runs true-to-size based on your athletic shoe fit. Women should order one size smaller.
(Required.)
Men's 4.5 / Women's 5.5
Men's 5 / Women's 6
Men's 5.5 / Women's 6.5
Men's 6 / Women's 7
Men's 6.5 / Women's 7.5
Men's 7 / Women's 8
Men's 7.5 / Women's 8.5
Men's 8 / Women's 9
Men's 8.5 / Women's 9.5
Men's 9 / Women's 10
Men's 9.5 / Women's 10.5
Men's 10 / Women's 11
Men's 10.5 / Women's 11.5
Men's 11 / Women's 12
Men's 11.5 / Women's 12.5
Men's 12 / Women's 13
Men's 12.5 / Women's 13.5
Men's 13 / Women's 14
Men's 14 / Women's 15
Men's 15 / Women's 16
Men's 16 / Women's 17
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10.
Width
Width runs narrow
(Required.)
Medium
Wide
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11.
How long does your current footwear last?
(Required.)
0-12 Months
12-18 Months
18-24 Months
2-3 Years
3+ Years
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12.
Do you have an instructor license?
(Required.)
Yes
No
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13.
Do you have your own professional social channel as a social media influencer or educator available to the public? (e.g. Facebook, YouTube, Instagram, TikTok, etc.)
(Required.)
Yes
No
If "Yes, please provide your account name
