Rampart SHIELD Program

SHIELD APPLICATION
Please fill out the information below to complete your application.

Before filling out this form, you must already have registered for a Rampart account. We require an active account to provide access to SHIELD discounts and offers.

If you do not already have a RAMPART account, you can create one here.
Note: SHIELD membership is not automatic. Each applicant must be reviewed before being granted access to the program.
Step 1: Personal Information
Name *

First Name Last Name
Date of Birth *

Month Day Year
Country of Residence *

Street Address

Street Address Line 2

Country
Phone Number *
Personal Email *
Note: This email must match the email you used to sign up for your Rampart account.
Step 2: Officer Information
Branch *

Military or Law Enforcement Corrections Nuclear Security EMS or Fire Armoured Car Service
Veteran / Retired
Job Title *
Agency Name *
Please upload an image of your agency identification

A simple cell phone photo is all that's required for verification
Front of ID *
Back of ID *
DISCLAIMER
SHIELD applications are NOT automatically approved.

Access to pricing will be granted after we manually review your application and tag your account.

Once approved, we will send you an email to the provided email address indicating that your account is activated and ready to go!
Should be Empty:

SHIELD APPLICATION