Fire Truck and Funding Bid Request

If you need funding for a new or used fire truck or ambulance, or refinancing for existing apparatus, we are here to help!

Please complete the form below. Please give us as much detail as you can and which you have available. This will help us to quickly serve you and get you a financing quote, because we can give more information to our banks.

We can and we will finance any fire department or municipality in their acquisition of new or used fire trucks or ambulances. Please note that we do not require any up front fees.

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Contact Information: **Required Fields*

*Name
*Title
*Department Name
*Address*
*City*	State Zip
*Telephone	*FAX*
*Cell Phone
*E-mail
Web Address

Basic Financial Information

Type of Project Needing Funding
Contracting Authority	Fire Dept. Municipal County
Dept. or Municipal Approval Already Granted?	Yes No
Total Amount of Budget, Acquisition Cost, or Project to be Financed	$
Amount of Down Payment Available	$ If $0, input $0
Total Amount Financing Needed	$

Apparatus Information:

Need Bid	Apparatus Funding Both
Apparatus Already Located	Yes No
Buying New or Used?	New Used If Used, Year Made
Type of Apparatus/Equipment
Manufacturer	No Preference = N/P
Apparatus Seller or Dealer	Name Phone #
Road Miles (Used)
Pump Hours (Used)
Ladder Hours (Used)
Refurbishing Info (Used)	Year Description

Description of Apparatus (Complete All Applicable or Write N/A)

Cab	Total Seats SCBA Seats
Chassis Type	Unknown = ? No Preference = N/P
Chassis Preference	Yes No Specify Manufacturer .
Engine	Diesel Gas Engine H/P =
Transmission	Specify Type or Preference
Generator	KW Unknown = ? No Preference = N/P
Scene Lighting	KW Unknown = ? No Preference = N/P
Booster Tank Size Capacity	Tank Type
Pump	Capacity GPM
Aerial & Quint Sticks	Platform? Yes No
Aerial & Quint Plumbing	Water to tip? Yes No
Aerial & Quint Air Plumbing	Breathable air to tip? Yes No
Other Apparatus Equipment Included or Needed
Specify Any Special Cabinet and Storage Requirements
Other Information and Description of Apparatus

Equipment Information: fire hose and nozzles, ladders, wrenches/plug tools, pike poles, thermal imaging cameras, bunker/turn-out gear, SCBA gear, ventilation equipment and fans, radios/communication, HAZMAT equipment, equipment for rehab units, rescue equipment, first-aid equipment, etc.

Equipment Sought Quantity and Description
Equipment Financing Needed	$

Comments and Further Information for Us to Consider:

By submitting this form, you are providing us with general information to determine your eligibility for financing for your fire department and to contact you for further information and discussions. It is therefore expressly understood that submission of this form by no means guarantees that we will accept your application, we guarantee the terms and that we will attempt to finance apparatus or equipment.

It is also understood that you, as buyer, do not pay us any fees directly, but you authorize us to invoice the seller for our costs and expenses, including commissions.

Contact Information: *Required Fields

Contact Information: **Required Fields*