Used Truck Posting for Firematic.com
PROGRAM TWO
Print out form, complete it and mail it or fax it to
Firematic Supply Co. Inc,
Shirley, NY
11967
Fire Department:__________________________________________________________
Contact Information:
Name:________________________________Phone:_____________________________
Address:
Fax:_________________________________
E-mail:____________________________
Note! E-mail address will be directly linked to
posting
Vehicle information (if item does not apply place an
N/A in blank)
Make:_______________________________Model:______________________________
Year:_______________________________
Mileage:____________________________
Asking Price:_________________________ Cab
Style:___________________________
Seating for:________
Front Axle rating:____________ Rear Axle:__________________
Engine (make, model, HP): _________________,__________________,____________
2.5” discharges:__________________ Large Diameter
Discharges:_________________
Ladders:_____________________________
Generator:__________________________
Water Tank (Size, Steel or
Poly):_____________________,______________________
Foam system:_______________________
Foam tank size:_________________________
Aerial type:________________________
Aerial height:__________________________
Aerial Certification (last
date):_________ Pump cert Date:_______________________
Rescue box size:_______________________
circle one: Walk in box, Non Walk
in box
ASKING PRICE:_________________________________________________________
Send completed form to
Firematic - - - - Fax 631-924-5202, E-mail Info