SCBA Rental Form – SCBA Rental Co. Inc.

The SCBA Sales & Rental Company works with Fire Science Academies / Colleges throughout the USA. We provide a cost-effective rental program for personal protective equipment for students
attending firefighting courses. All firefighting personal protective “SCBA” provided meet 2002 or 2007 NFPA and OSHA/NIOSH standards. $460.00 Includes Complete SCBA, Mask, Cylinder, Spare Cylinder & Shipping (Additional Non-Refundable $50.00 per Fit Test). State tax will be added when deemed necessary. Students are responsible for the care and return of personal protective equipment and will be charged for all damaged or lost equipment.

First Name *

Last Name *

Email Address *

Phone Number

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Fire Science Academy / College Name *

Would you like a spare cylinder? *YesNo

Cylinder Capacity30 min45 min

Select your mask size?SmallMediumLargeXtra Large

Make

Model

FIT Test Performed & Passed

Yes

FIT Test Score Factor

Payment Method

Make Cashier’s & Personal Check payable to SCBA Sales & Rentals. Paypal payment: Paypal invoice will be sent to the Cadet’s email address provided. A 2.9% CC & Paypal processing fee will be added.

A 100% Refund will ONLY be given prior to the start date of the semester.