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Green Cross Program
Registration
GREEN CROSS REGISTRY


The Green Cross is the symbol of recognition for those who have used Hurst Jaws of Life products to save lives. The Green Cross is awarded after information concerning a rescue is filed in the official Green Cross Registry. Since the program's inception, thousands worldwide have received this prestigious honor.
Name of your Hurst distributor
  Name
Please provide the following contact information
  Name
  Title
  Organization
  Street address
  Address (cont.)
  City
  State/Province
  Postal code
  Country
  Work Phone
  Fax
  E-mail
  URL
Paid or volunteer?
 
Please provide the following incident data
  Date of incident
  Type of incident
  Were Air Bags used? Yes  No
  Number of Victims
  How many victims survived?
Members who actually used the Hurst rescue products
 
Details of the incident
 
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last change: 11/19/2008