New Customer

Customer / Company Name:
Contact First Name:
Contact Last Name:
Contact Phone Number:
Contact Cell Phone:
Contact Email:
Billing Street Address:
Billing Street Address 2:
Postal Code:
A/P Contact Name:
A/P Phone Number:
A/P Fax Number:
A/P Email Address:
Would you like to receive all parts & Service invoices via email only?

Purchase Order Number Required?

Tax Exempt?
(if yes, tax-exempt form required)

Tax-exempt Number
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All Fire Departments and Government/State/County/City Offices need to have a current Tax Exempt Form on file before orders will be processed.  Please send your form or fill out the state-specific form below and email it to