Government Order Request

Government Order / Discount Request

Welcome — we’re honored to support public servants who keep our communities running at the local, state, and federal level. This form helps us gather the details needed to prepare an accurate agency quote, and it also serves as an application for our Government Agency Discount Program.

Note: Please do not submit payment card numbers in this form. Payment arrangements will be coordinated separately after your request is reviewed.

Agency Type

Federal State Local

Agency Information

Agency / Organization Name *

Branch / Office / Department

Agency Phone *

Contact / Requestor

Name *

Title

Email *

Phone *

Office Ext

Cell (optional)

Addresses

Agency Address

Address Line 1 * Address Line 2

City *

State *

ZIP *

Billing address is the same as agency address

Shipping address is the same as billing address

Product Selection

Add one line per item variant: select the product, marking text (or CUSTOM TEXT), text color, and quantity. For multiple unique, non-sequential names or badge numbers, we’ll collect the full list before production.

#	Product	Text	Appears if CUSTOM TEXT selected	Text Color	Qty	Remove
1		—	—	— If you select Custom, we’ll confirm options after review.

Order Notes (optional) Use this for anything special; we’ll follow up for lists like unique names/badge numbers.

Payment Information

Preferred payment method (for planning) * Net 30 requested (optional) PO Number (optional)

Acknowledgements

I understand I will not submit payment card numbers in this form. I understand this is a request for quote/discount review and is not a final order submission.

Agency Identifier / Credential Policy

Any TRAC Tag that will contain an agency name, badge number, unit identifier, or other government/LEO-related marking requires active credentials. Acceptable examples include an agency ID card or a procurement letter on agency letterhead. This helps prevent unauthorized impersonation.

This request includes agency/LEO identifiers (credentials required) I acknowledge the agency identifier / credential policy above.

Uploads

Tax exemption certificate (optional) Purchase order (optional)

Additional document (optional)

Signature

Typed Name * Date * Draw Signature * (mouse or touch)

Signature not captured yet.

I certify that the information submitted in this request is true and accurate to the best of my knowledge.

KAAMB Industries LLC designs and produces original products using in-house CAD development and rapid prototyping. We combine digital design with real-world testing to deliver rugged, precise gear for the range, the job site, and the home.

Government Order Request

Government Order / Discount Request

Agency Type

Agency Information

Contact / Requestor

Addresses

Agency Address

Billing Address

Shipping Address

Product Selection

Payment Information

Acknowledgements

Agency Identifier / Credential Policy

Uploads

Credentials (Required if identifiers included)

Signature

Quick Links

Support

Contact

"Whatever you do, work heartily, as for the Lord and not for men." Colossians, 3:23