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Order Form

Form for ordering a cleaning and repair services.

Step 1 of 3

Name(Required)

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Company/Department

Address(Required)

Street Address City State ZIP Code

Email(Required)

Phone(Required)

Shipping

Check the box below if you would like to use your contact address as you shipping address, if you would like to use another shipping address leave the box unchecked and fill out your shipping information below.

Please use my contact info for my shipping info.

Shipping Address

Street Address City State ZIP Code

Terms & Conditions:

Cleaning and Repair Policy: Choice CleanGear assumes that all gear shipped to Choice CleanGear HAS NOT been cleaned unless the customer provides documentation on the Choice CleanGear PPE Service Form that the item(s) have been properly cleaned according to NFPA 1851 and manufacturer standards:

Customer cleaned items SHALL NOT not be worn between washing and shipping to Choice CleanGear.
Choice CleanGear reserves the right to perform a Soil Transfer Test (STT) on any item(s) cleaned by the customer to determine if the item meets Choice CleanGear's cleaning and safety standards before being handled by a our employees.
Items that fail the STT will be cleaned and billed at the current Level 1 cleaning fee.
If unprotected dirty items are dropped off or shipped in the same box/bag as clean items, then ALL items in the bundle or box will be cleaned.
Choice CleanGear will not perform Advanced Inspection services or prepare Estimates on items that are not clean.
Choice CleanGear employees are authorized to re-submit customer cleaned items to be cleaned if it is determined that the item is not safe for handling.

Industry Standards Observed/Referenced:

OSHA 29 CFR 1910.1030 - Toxic and Hazardous Substances, Bloodborne Pathogens.
NFPA 1500 - Standard on Fire Department Occupational Safety and Health Program.
NFPA 1851 - Standard on Selection, Care, and Maintenance of Structural Fire Fighting Protective Ensembles.
NFPA 1971 - Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting.
NFPA 1999: Standard on Protective Clothing for Emergency Medical Operations, 2003 Edition.
NFPA 1951: Standard on Protective Ensemble for USAR Operations.
NFPA 2113 - Standard on Selection, Care, Use, and Maintenance of Flame-Resistant Garments for Protection of Industrial Personnel Against Flash Fire.

Accept Terms(Required)

I have read and agree to the terms above.

If you would like to download and printout our order form click the button below.

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