Alaska Marine Safety
Education Association
Commercial Fishing Vessel Safety
Non-Commercial Boating Safety
AMSEA Main Office:
2924 Halibut Point Road
Sitka, AK 99835
Voice: 907-747-3287
Fax: 907-747-3259
AMSEA Training Equipment Check-Out Form
To borrow AMSEA's cold water safety and survival equipment for use in safety training, fill in your name, contact information, and information about your upcoming training. Also, you must read the AMSEA Equipment Loan Terms and indicate your acceptance of them. Then use the quick links below or scroll down the form, check the boxes or fill in the quantity and sizes needed next to the items you'd like to borrow. Finally, click the "Submit Form" button at the bottom of the page.
Once we receive your request, we will confirm availability by e-mail or phone and ship the equipment to you. You are responsible for shipping all items back to AMSEA at your expense.
If there is training equipment or material that you need but do not see listed, or if you have questions about equipment, please send an email to AMSEA's Gear Department.
PLEASE NOTE: As a borrower, YOU (and no one else) are responsible for returning gear in the same condition as you received it. There is a fee of $25.00 per item for any gear returned wet, dirty, or needing maintenance beyond that of normal use!
Quick links to various types of equipment:
NAME AND CONTACT INFORMATION
REQUIRED fields are bold and marked with: *
Name:*
E-mail address:*
Daytime phone:* (XXX-XXX-XXXX)
Evening phone:* (XXX-XXX-XXXX)
Mailing address:*
City, State, Zip:*
Shipping address (if different) - include City, State, Zip:* Same
Preferred method of shipping (if any):
Primary Instructor:*
Estmated total number of students to be trained:*
Ages and numbers of students:* (check all that apply and fill in estimated ages or grades and number of each age group. Indicate NA in boxes that do not apply.)
Equipment is needed in above location by:* (MM/DD/YYYY)
First day of this training/course:* (MM/DD/YYYY)
Last day of this training/course:* (MM/DD/YYYY)
Please read the following AMSEA Equipment Loan Terms and indicate your acceptance of them by checking the box below.
As a borrower, YOU are responsible for returning gear in the same condition it is received. There is a fee of $25.00 per item for any gear returned wet, dirty, or needing extra maintenance!
AMSEA will send equipment to you in good working condition. AMSEA's equipment gets a great deal of use throughout the year. In order to ensure its long life and availability to others, AMSEA requires you to agree to the following terms prior to borrowing equipment.
By checking the box below, I agree to:
I acknowledge I have read and agree to the AMSEA Equipment Loan Terms as outlined above.*
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*CO2 cartridges cannot be shipped by air. Inflatable PFDs are shipped without CO2 cartridges.
**Cannot be shipped by air. Contact AMSEA for possible local pickup.
*Cannot be shipped by air. Contact AMSEA for possible local pickup.
Did you read AMSEA'S EQUIPMENT LOAN TERMS and check the agreement box at the top of this form? You must do so before submitting this form.
You should receive a confirmation within 5 working days. If not, please contact AMSEA directly to confirm that we have received your order. Thank you.
AMSEA is funded by:
CDC NIOSH
United State Coast Guard
State of Alaska DCCED/DCA
And individual members
Last updated Friday, October 12, 2007
Copyright 2000-2007, AMSEA