JC Moore Industries Logo 152 Second Street
Fredonia, PA 16124-0026
Phone: 724-475-3185
Fax: 724-475-2067
Email: sales@jcmoore.com

Refurbishing Form

Please fill out the form below:

Name:
Department:
City:
State:
Phone:
Fax:
Email:
Make:
Model:
Year:
Pump Make/Model:
Capacity:
Serial Number:
Pump Rebuild:
Pump Certification:
Cab Repairs?
New Up-Dated pump Panel:
New Tank:
Capacity:
Material:
Updated lighting to meet NFPA:
Repair Body?
Install new body?
If Yes, what type?
Complete PPG 5 year paint?
Color Type:
Retro fit an existing apparatus?
Aerial repairs or certification?
Additional Details:

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Phone: 724-475-3185 ~ Fax: 724-475-2067