Gear Request Form

Keystone Trails Association

KTA Gear Loaner Program - Equipment Request Form

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Equipment Needed *

Backpack Sleeping Bag Ground Pad Tent Hiking Poles Cookware Mesh Bag Dry Bag Bear Cannister Gaiters

Additional Information *

Requested pickup date (or range of dates) *

Requested return date (or range of dates) *

Submit