3M Combat Earplug

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Branch of the armed services

Army

Navy

Marines

Air Force

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Were you in active duty between 2003 and 2015

YESNO

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Please Tell Us Your Name* This field is required.

First Name

Last Name

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Email* This field is required.

example@example.com

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Phone Number* This field is required.

Area Code

Phone Number

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Your primary specialty?

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Describe your hearing lossie: slight, moderate, severe

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When in your service were you first issued 3M Combat Arms Earplugs?ie: Basic Training, Deployment, etc.

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Do you still have them (not necessary to proceed)?

YESNO

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Which of the 3M Combat Arms Earplugs below were you issued?

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You have met the preliminary requirements to advance – please select from the dropdown menu

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Please Sign Below

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