Bluegrass Fire Apparatus

* Full Name

* Company Name

* Address

* Email Address

* Phone Number

* 1. Apparatus

Tanker
Pumper
Tanker Pumper
Rescue
Brush

* 2. Chassis

Kenworth
Peterbilt
Freightliner
International
Ford
Other

* 3. Tank

Stainless Steel Elliptical
Stainless Steel T Tank
Poly
* Size of Tank in Gallons

* 4-A. Pump Manufacturer

Waterous
Darley
Hale

* 4-B. Pump

PTO
MID Ship
Top Mount
Portable
* Size of Pump in Gallons

* 5. Light Package

LED
Strobe
Halogen
Other

* 6. Compartments

Low Sides Both Sides
Low Sides High Sides
High Sides High Sides
Other

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