Design your own Emergency Disaster Kits and we'll contact you with a quote!  Make sure you have all the Disaster Kit Supplies and Disaster Preparedness Kits you will need in case something terrible happens.

1.	First Name*
2.	Last Name*
3.	Company Name
4.	Street Address 1
5.	Street Address 2
6.	City*
7.	Zip Code*
8.	Country*
9.	State*
10.	Phone Number*
11.	Fax Number
12.	Email Address*
13.	Emergency/Survival Kit Information
14.	How many People is this kit for?*
15.	How many food bars? (one bar contains the min. recommended amount for 1 person for 3 days)
16.	How many water rations? (one ration contains the min. recommended amount for 1 person for 3 days)
17.	Please enter the quantity you would like for the following items. Leave blank or enter '0' if an item is not needed.
18.	First Aid Kit (200 pieces) extra large (1-20 persons)
19.	First Aid Kit ( 81 pieces) large (1-10 persons)
20.	First Aid Kit ( 52 pieces) medium (1-5 persons)
21.	First Aid Kit ( 42 pieces) personal (1person)
22.	Flashlight D-size with batteries
23.	Heavy duty leather gloves (pair)
24.	AM/FM/Weather Band radio - crank type, no batteries needed
25.	disposable gloves (10-pack)
26.	Tooth paste with tooth-brush(es)
27.	Disposable razors (10-pack)
28.	2-pack antibacterial soap
29.	paper tissue (7 tissues each pack)
30.	roll(s) of bath tissue
31.	Terry cloth towels (12"x12") non sterile
32.	Multi purpose scissors
33.	note-pad with pencil and sharpener
34.	12 hour glow sticks
35.	rain poncho with hood
36.	dust-mask (10-pack)
37.	Emergency whistle with compass, waterproof compartment, lanyard (5 in 1 tool)
38.	Emergency whistle with lanyard
39.	Emergency Blanket
40.	Multi function tool / pocket knife
41.	Emergency stove with fuel tablets
42.	Gas / Water Shut-off Tool item GS-GAS-1
43.	PRY BAR with Gas shut off item PRY-1
44.	Hand sanitizer - 2 fl.oz., pocket size - personal bottle
45.	Wet-wipes (baby wipes) 30 count pack
46.	Wet-wipes (personal) 10 count pack
47.	Safety goggles with clear lens and side protection
48.	Backpacks / Duffel Bags Depending on how many and which items you have selected, we will select the most appropriate way to pack your kit. However you can indicate preferences below. Please remember that a duffel bag can hold more items than a backpack and if you chose a smaller backpack, we might have to use more than one to hold the items you selected.
49.	Decision Please select the best way to pack the kit for me. I want backpack(s) only. I want duffel bag(s) only. I don't need any bags (supplies only)
50.	Other kit-packing instructions:
51.	If you want more than one of these kits,please enter the quantity here
52.	Additional Comments or Special Shipping Requests or items you would like included in the kit: