Spectra Reserve Ripcord Replacement

Before starting the form please make sure that you have taken a picture of the data sleeve on the Spectra reserve ripcord showing the lot number and part number as shown in the example below. If you are using a mobile device you can use the camera on your phone or tablet when uploading the photo.

If you require additional information about PSB 2015-01 please visit the PSB info page.
First Name:
Last Name:
Address 1:
Address 2:
Postal Code:
Repeat Email:
Last Repack Date:
Lot Number: UPT 
Part Number: 024 - 029 - 
Container Serial Number:
Ripcord Data Sleeve Image:
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