Volunteer Fire Company Quotation Form Proposed Transaction Information for Apparatus.
Please TAB from field to field.
ENTER
or click on
SUBMIT
button when finished.
Exact Legal Name of Fire Company:
Full Address of Fire Company:
City:
County:
State:
Zip:
Telephone Number of Fire Station:
Contact Person:
Title:
Daytime Phone Number of Contact:
Home Phone Number of Contact:
Fax Number:
Email:
Total Acquisition Cost for Equipment:
$
Cash Down Payment:
$
Grants:
$
County or Relief Association Funds:
$
PEMA Loan (Pennsylvania Only):
$
Total to Finance:
$
Chassis Prepayment Amount:
$
Date of Chassis Prepayment:
Amount Due Vendor at Final Delivery:
$
Date of Final Delivery:
Equipment Description (Year, Make, Model):
Type of Truck (Rescue, Pumper, Ladder, etc):
Chassis Manufacturer:
Term (Number of years):
Payment:
Select
Monthly
Annually
Quarterly
Semi-Annually
Method:
Select
Advance
Arrears
Enter additional comments or questions in the space provided below:
Copyright@2005
www.volunteersfinancialservices.com
Call toll-free :
(888)490-VFS1
Office
Tel: (888) 490-8371
Fax: (215) 781-0983
Our office is located at,
6400 N. Radcliffe Street
Bristol, PA 19007
