Department Name   

          Department Address   

                                        City       State      Zip   

                                    Phone       Fax

                           Your Name  

                             Your Rank  
 

                       Email Address  

In the box below, please explain, in detail, all of the roles this apparatus will be expected to perform:

Chassis Preference  None of These Custom HME Custom Spartan Freightliner GMC International Kenworth Peterbilt
 

List your chassis options that are a must for this apparatus:

          Control Panel  Side Mount Controls Top Mount Controls

            Pump Brand  Darley Hale Waterous

               Pump Size  1000 GPM 1250 GPM 1500 GPM 1750 GPM 2000 GPM

                 Tank Size  500 Gallons 750 Gallons 1000 Gallons 1200 Gallons

       Ladder Storage  R.H. Above Compartments Compt. Behind R.H. Compartments Water Tank Pass-Through

In the box below list the minimum equipment the unit will be expected to carry:

List any special features you require on this unit:

Your Turn.  Enter any information you wish in the box below: