Emergency Equipment Acquisition Application

 

ITC will send you a signature ready contract within 48 hours of receiving your application.

General Company Information
     
  Legal Business Name*  
  Doing Business As (If different from above)  
 

Site Information
 
Please enter ALL site(s) you would like covered under your ITC Emergency Equipment Acquisition Service.
     
  Address 1*  
  Address 2  
  City*  
  State*  
  Zip*  
  Phone*  
  Site Under 49,000 Sq Ft $300.00 USD/per site
  Site Over 49,000 Sq Ft $1,000.00 USD/per site
 
Project Manager (Site) Contact Information
  Contact Name  
  Title  
  Phone  
  Email  
 

Discounts are available for multiple sites. 





 
Billing Information
 
Principal Place of Business
  Address 1*  
  Address 2  
  City*  
  State*  
  Zip*  
  Phone*  
 
Mailing Address                    Same As Above                                                
  Address 1  
  Address 2  
  City  
  State  
  Zip  
 
Billing/Contract Contact Information
  Contact Name*  
  Title  
  Phone*  
  Email*  

Please compile a list of your equipment to be covered under your ITC Emergency Equipment Acquisitions Contract.  For a Sample Equipment List Set Up Click Here

Additional Information:

* Required Data

ITC Greatly Appreciates your Business

Notice:
By completing the Emergency Equipment Acquisition Application and clicking on the Submit button, you are giving ITC written authorization to finalize your contract.  All applications are subject to approval.  Contact will be made by an ITC representative within 48 business hours.