Stay Clear, Stay Alive Kit Electrical contact is a leading cause of injury and death in the U.S. construction industry. Our free kit will help your employees learn to avoid the 10-foot danger zone around power lines. The kit includes:

• Contractor Electrical Awareness video
• 25 copies of the brochure, Electrical Safety for Contractors and Homeowners

	( = required information)
First Name:
Last Name:
Company:
Address:
City:
State:	Zip Code:
Telephone:
Email:
Number of Copies:	We will send enough material for 25 employees. If you need more or less, please indicate the amount.
ID No:	If responding to our mailing, your ID number is printed in blue and to the right of your address on the reply card.