Agency or Trainer Name* Phone*Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Product*Check all products that you would like to register. Rapid Transport Sled Hybrid Ice Rescue Suit Internal Buoyancy Vest Ice Rescube Sling Tactical Reach Pole Complete w/ Retriever 120' Tactical Reach Pole ONLY Tactical Reach Pole -Carbon Fiber 120' Retriever ONLY Water Operations Harness Bag and Tetherline 150 ft Bag and Tetherline 200 ft Bag and Tetherline 300 ft Bag and Tetherline 400 ft Bag and Tetherline 600 ft Click here to download the manual: 9-1-1 Reach Pole Click here to download the manual: Ice Rescube Sling Click here to download the manual: Retriever 120′ Click here to download the manual: RTS – Rapid Transport Sled Click here to download the manual: Water Operations HarnessPurchased Through* Dealer Direct from ICE Rescue Systems If dealer, list name Date of Purchase* MM slash DD slash YYYY CAPTCHAWarning and Warranty DisclaimerProducts manufactured Living Waters LLC are intended for use by professionals trained and experienced in the use, inspection, and maintenance of these products. Many products which Living Waters LLC manufactures are used in water operational environments which pose a very substantial risk of serious injury or death. You must read and understand all of the manufacturer’s instructions before use. Any person purchasing this equipment assumes the responsibility for seeking proper training in its use. Purchaser also assumes all risk for any injury or damage sustained while using any of this equipment. Failure to follow these warnings increases the risk of injury and death. We warrant for one year from purchase date and only to the original retail buyer (Buyer) that our products (Products) are free from defects in material and workmanship. If Buyer discovers a covered defect, Buyer should return the Product to the place of purchase. In the event that this is not possible, return the Product to us at the address provided. The Product will be repaired or replaced at our discretion. That is the extent of our liability under this Warranty and, upon expiration of the applicable warranty period, all such liability shall terminate. We reserve the right to require proof of purchase for all warranty claims.I agree to the Warning and Warranty Disclaimer* Yes NameThis field is for validation purposes and should be left unchanged.