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3M™ Breathe Easier Challenge
from Empire Safety & Supply Co.

Introducing the 3M™ Breathe Easier Challenge

When 3M invented the disc filter category over 15 years ago, it launched a new era of worker protection. Today, the new 2291, 2296 and 2297 bring disc filtration to a new level of performance. These premium disc filters are engineered for easier breathing, making them ideal for tough work environments.

Take the 3M™ Breathe Easier Challenge* by trialing and evaluating the 3M™ Advanced Particulate Filter 2291, P100 and 3M™ Advanced Particulate Filter 2297, P100 with Nuisance Level Organic Vapor Relief**. The 3M™ Breathe Easier Challenge begins April 1, 2010 and ends December 31, 2010.

Trial the product within two weeks of receiving the kit and take a survey to share your experience. All survey responders will receive a complimentary pair of eyewear. In addition, the 100th survey entry will receive a $100 Visa® Gift Card and the 250th survey entry will receive a $200 Visa® Gift Card.

Complete the Challenge in three easy steps:

Request kits by filling out the form below.

Fit test users and initiate trial.

Provide feedback through online or faxable form included with each kit.

If you are using Internet Explorer you may experience problems using this form.

Please use an alternate browser, or contact a customer service representative at (800)995-1341 or custserv@empiresafety.com for assistance. Thank you.

* All fields are required.

First Name	Last Name
Company	Address
City	State	Zip Code
Phone Format: 123-456-7890	Email

Does your company have 10 or more employees that wear reusable respirators?
Yes No

Thank you for your interest in the 3M™ Breathe Easier Challenge. You have not met the minimum requirements for this program.

How many employees at this company?

Does your company use 3M™ Half or Full Facepiece Reusable Respirators?
Yes No

Please indicate the number of kits you require. Each kit contains 2 pairs each of 2291 and 2297 filters.
Maximum number of kits is determined by number of employees. 11-20 employees = 2 kits | 21-50 employees = 5 kits | 51-100 employees = 7 kits | 101+ employees = 10 kits.

Filter Kit 2291, 2297 - 2 each

Please indicate the number of kits you require. Each kit contains 1 respirator, 2 pairs each of 2291 and 2297 filters.
Maximum number of kits is determined by number of employees. 11-20 employees = 2 kits | 21-50 employees = 5 kits | 51-100 employees = 7 kits | 101+ employees = 10 kits.

3M™ Full Facepiece Respirator - 6800 Medium

3M™ Full Facepiece Respirator - 6900 Large

3M™ Half Facepiece Respirator - 7502 Medium

3M™ Half Facepiece Respirator - 7503 Large

*3M™ Advanced Particulate Filter 2296 is not available for the Breathe Easier Challenge. Company must have 10 or more employees to participate in the 3M™ Breathe Easier Challenge. Number of kist available is limited based on number of employees. Complimentary gifts may be awarded within 30 calendar days from program end date of Dec. 31, 2010. 3M reserves the right to discontinue or terminate the 3M™ Breathe Easier Challenge Program at any time. 3M also reserves the right to limit complimentary gifts to only those who performed the 3M™ Breathe Easier Challenge. Limited to one evaluation per person.

**3M recommended for relief against niusance levels of organic vapor. Nuisance level organic vapor refers to concentrations not exceeding OSHA PEL or applicable government occupational exposure limits, whichever is lower. Not NIOSH-approved for organic vapors. Do not use for respiratory protection against organic vapors.

3M is a trademark of 3M Company.