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Fire Truck Design & Requirements Form

    We need to have your requirements, to help you custom design your new fire truck.  If you are buying a new fire truck, we help you get the best price and options, but we need the following information from you to save us all a lot of time, efforts and money.

     Please let us know what you need and how we can help you.

        Contact Information:    *Required Fields

*Name

*Title
*Department Name
Address
City State Zip
*Telephone FAX
*Cell Phone
*E-mail
Web Address
Your Apparatus
Acquisition Budget		           

        Apparatus Information:

Need Location Assistance for:   Apparatus     Funding    Both
Buying New or Used?   New     Used      
   No Preference
Type of Apparatus/Equipment

Manufacturer
                    No Preference = N/P
Apparatus Delivery

        Description of Apparatus  (Complete All Applicable or Write N/A)

Cab  Total Seats          SCBA Seats
Chassis Type

 
Chassis Preference

Yes     No    
Specify Manufacturer  

Engine

  Diesel     Gas     Engine H/P =

Transmission

 Specify Type or Preference

Generator

 KW    No Preference = N/P
Scene Lighting

 KW    No Preference = N/P
Booster Tank Size Capacity

   Tank Type 

Pump

 
Capacity  GPM
Pump and Water I/O
Information/Description

Intakes        
Discharges  

Foam

Yes     No 
Foam Cell Size:  Gal.
 Other Apparatus Equipment
Included or Needed
Cabinet and Storage
 Type		  
 Specify Any Special
Cabinet and Storage
 Requirements
 Other Information and Description
 of Apparatus Desired
 (Special Paint, Color,
LED, Warning Lights, etc.)

        Aerial Apparatus: (Skip if not Applicable)

Aerial & Quint Sticks

   Platform? Yes     No
Aerial & Quint Plumbing

Water to tip?  Yes     No
Aerial & Quint Air Plumbing

Breathable air to tip? Yes     No

       Equipment Information: fire hose and nozzles, ladders, wrenches/plug tools, pike poles, thermal imaging cameras, bunker/turn-out gear, SCBA gear, ventilation equipment and fans, radios/communication, HAZMAT equipment, equipment for rehab units, rescue equipment, first-aid equipment, etc.

 Equipment Sought
Quantity and Description

       Comments and Further Information for Us to Consider:

       

    By submitting this form, you are providing us with general information to assist you in locating a used or new fire truck.  You will not be invoiced or asked to pay any fees to us for our assistance and services, however, by submitting this information, you are requesting our assistance to locate and develop a new fire truck or to purchase a used fire truck, and you therefore also authorize us to bill and invoice the seller to recover our costs and fees we find to be necessary in our assisting you.

    It is therefore expressly understood that you, as buyer, do not pay us any fees directly, but you authorize us to invoice the seller for our costs, fees and commissions.

 

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