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Sample Request

For a Free Sample and Video CD Please Complete Form (Note: Only Law Enforcement Agencies are eligible)


Thank you for your interest in VEXOR pepper spray products. Please be advised that our samples are sent to representatives of those agencies wishing to evaluate our products for use by that agency. Samples are not sent for individual use or consideration. Follow-up calls are made in regards to any samples being sent to those agencies.

For Agency Evaluations Only!
(All fields marked with an * must be completed)

Name:
*
Rank/Title:
*
Agency:
*
Address1:
*
Address2:
  Street Address Only No PO BOX Shipment
to Continental US Only
City:
*
State:
*
Zip Code:
*
Telephone:
*
Alt Phone:
Fax:
Website:
Email:
*
Request cannot be processed without email
Training Officer :
*
Training Officer Title :
*
Current OC Used :
*
 
No. of Officers in Your Department:
*
Comment: