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Training Product Information
Choose any that apply below: (for promotion products, click here.)

  IVR-base HD
  IVR-180 HD
  IVR-300 HD
  IVR-360 HD
  Scenario Library
  Custom Scenarios
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Preferred Response

  CD Format
  US Postal Service
  E-mail
  Phone Me Please
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Facility Information

Type of Agency «

Type of Facility «

Facility Size / Description «
Size of Department / Training Body «

Dimensions of Simulator «

x
x
    Feet
    Meters
Do you currently use a training simulator? «     Yes      No
If yes, what system?

Brand «

Model «

If you chose "Other..." please explain

Are you currently using simulation in your training schedule? «     Yes      No
How did you first hear about
VirTra Systems' line of products? «

When is your proposed
installation date? «

What options do you require?

What weapons do you require? «

Recoil?     Yes      No
Additional Requirements/Comments
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Contact Information

First Name «

Last Name «

Title

Organization «

Address 1 «

Address 2

City «

State / Province «

Zip /
Postal Code «

Country «
Phone «

Home Phone

E-Mail «

FAX

URL
Additional Requests/Comments
 Please contact me as soon as possible regarding this matter.

« Signifies Required Field
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