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Combat Helmet Upgrade Kit Request Form

Helmet Type*

MICH and ACH are effectively the same helmet. LWH and PASGT have a brim

Service*

USMC, US Army, USAF, USN. USCG

Rank*

Use rank (SPC, LCpl, SSG, 1Lt) rather than pay grade

Name*

For stateside, use the real street address and/or bldg number. Overseas, use organization and unit number.

Organization*

2/2 E Compnay (1st Pl)

Unit Number

Overseas use only

Shipping Address

Stateside, use the real street address and/or bldg number. UPS can't deliver to address they can't find.

City (APO/FPO)*

Stateside, use your city. Overseas, use APO or FPO.

State*

State or AE/AP

ZipCode*

Email*

Phone Nbr*

Commercial number only, no DSN

Fax

No DSN

Number of Kits*

How many folks going outside the wire?

Hometown

Where Did You Hear About Us?

Google, friend, other website, etc.

What job will you be doing in the AOR?*

Post no OPSEC sensitive info - just basic stuff, like: infantry, convoy, maintenance, etc

Current Pads*

What pads do you currently have? What is written on them? Color? Sewn seam? Glued? Texture?

Comments*

Please tell us exactly what operation/personal difficulties the current GI pads are causing you/your unit. We can't bring about change without your help. Let us know what you think of the new pads after you get them.