Fisherman's Toolbox Order Form

First Name:

Last Name:

Street Address:

City:

Province:

Postal Code:

Home Phone:

Cell Phone:

E-mail Address:

Vessel Name:

Gear Type:

PLEASE SEND ME:

SAFE AT SEA VIDEO ($100.00 for non-BC Fishermen) QUANTITY / FORMAT

VHS: Safe at Sea

DVD: Safe at Sea

MEASURING STABILITY VIDEO ($100.00 for non-BC Fishermen)

DVD: Measuring Stability

MAKE IT YOUR BUSINESS – STABILITY HANDBOOK ($25.00 for non- BC Fishermen)

Quantity (handbooks)

PUT ME ON YOUR MAILING LIST FOR:

Safety Updates

FishSafe Advisory Meetings

Comments:

= Required