Send for a
price quote
Fill out the form below for a price quote. Please make sure you have filled out all the appropriate fields.
**Fields with colored titles are required.
Title:
First Name:
Last Name:
Fire Department:
Business Address:
City:
State:
Zip:
Home Address:
City:
State:
Zip:
Email Address:

Confirm Email Address:

I would like a Blanchat Representative to contact me. **If yes, please fill in a phone number.
Work Telephone #:
[xxx-xxx-xxxx]
Home Telephone #:
[xxx-xxx-xxxx]
Cell Phone #:
[xxx-xxx-xxxx]
Which truck models would you like to quote?
We send out the entire price sheet including all options. The chassis price is not included in these prices, however, because most departments prefer to deal with their local dealer.
B-3 Chaparral
B-4 Chaparral
B-5 Chaparral
Minuteman
Patriot
Gunfighter
Additional Comments:
**If you are interested in something that you have not seen on this site, please let us know!
Where would you like your price quote sent?
**If to a postal address, please fill in the appropriate field.
Email Address
Business Address
Home Address
Are you interested in a FREE DVD Demo? If yes, please choose an address to send it to.
**If yes, please fill in the appropriate address field.
Business Address
Home Address
How did you hear about us? Check all that apply.
FireRescue magazine
FireFighterNation.com
Fire Trader
Fire Chief magazine
New Mexico Paramedic & Firefighter News
KSAFC website
FDIC Show
IAFC Show
Word of Mouth
Internet search
If other, please elaborate.

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**This field is case sensitive.

**Submitted information is kept confidential for Blanchat Mfg., Inc. use only.
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