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:
- Please Select -
No
Yes
Pump Certification:
- Please Select -
No
Yes
Cab Repairs?
- Please Select -
No
Yes
New Up-Dated pump Panel:
- Please Select -
No
Yes
New Tank:
- Please Select -
No
Yes
Capacity:
Material:
PolyTank IIE
Fiberglass
Steel
Updated lighting to meet NFPA:
- Please Select -
No
Yes
Repair Body?
- Please Select -
No
Yes
Install new body?
- Please Select -
No
Yes
If Yes, what type?
- Please Select -
Galvaneal Steel
Aluminum
Stainless Steel
Complete PPG 5 year paint?
- Please Select -
No
Yes
Color Type:
- Please Select -
Single Color
Two-Tone
Retro fit an existing apparatus?
- Please Select -
No
Yes
Aerial repairs or certification?
- Please Select -
No
Yes
Additional Details:
Refurbishing
//
New Apparatus
//
E-Z System
New Deliveries
//
Poly-Wetside
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Hot Links
Demo / Used Equipment
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Contact J.C. Moore
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J.C. Moore Industries, Inc.
Phone: 724-475-3185 ~ Fax: 724-475-2067