Last updated:

March 8, 2007

D & M Electrical Purchases Your equipment

Equipment Sell Inquiry Form

Company

Contact First Name

Contact Last Name

Street Address

Suite

City

State

Zip Code

Phone Number

Fax Number

E-mail Address

Generator Manufacturer

Generator Hours Used

Generator Model

Generator Output

Generator Type

   None
   Gasoline
   Diesel
   Propane
   Natural Gas

Special Application Use

   None
   Towable
   Stationary
   Portable

Auto Start with Auto Transfer Switch

   None
   Electric Start
   Pull Start

Transfer Switch

   None
   Automatic
   Manual

Current Application Use

   Shop
   Factory
   Contractor
   Internet Service Provider
   Home
   Other, please specify:

Fuel Tank Type

Enclosure Type

Voltage

   Three Phase – 120/208
   Three Phase -120/240
   Three Phase -277/480
   Single Phase – 120/240

Additional Equipment

Company	Contact First Name	Contact Last Name
Street Address	Suite
City	State	Zip Code
Phone Number	Fax Number	E-mail Address

Generator Manufacturer

Generator Hours Used

Generator Model

Generator Output

Generator Type

   None
   Gasoline
   Diesel
   Propane
   Natural Gas

Special Application Use

   None
   Towable
   Stationary
   Portable

Auto Start with Auto Transfer Switch

   None
   Electric Start
   Pull Start

Transfer Switch

   None
   Automatic
   Manual

Current Application Use

   Shop
   Factory
   Contractor
   Internet Service Provider
   Home
   Other, please specify:

Fuel Tank Type

Enclosure Type

Voltage

   Three Phase – 120/208
   Three Phase -120/240
   Three Phase -277/480
   Single Phase – 120/240

Additional Equipment

Company	Contact First Name	Contact Last Name
Street Address	Suite
City	State	Zip Code
Phone Number	Fax Number	E-mail Address

Generator Manufacturer

Generator Hours Used

Generator Model

Generator Output

Generator Type

   None
   Gasoline
   Diesel
   Propane
   Natural Gas

Special Application Use

   None
   Towable
   Stationary
   Portable

Auto Start with Auto Transfer Switch

   None
   Electric Start
   Pull Start

Transfer Switch

   None
   Automatic
   Manual

Current Application Use

   Shop
   Factory
   Contractor
   Internet Service Provider
   Home
   Other, please specify:

Fuel Tank Type

Enclosure Type

Voltage

   Three Phase – 120/208
   Three Phase -120/240
   Three Phase -277/480
   Single Phase – 120/240

Additional Equipment

Company	Contact First Name	Contact Last Name
Street Address	Suite
City	State	Zip Code
Phone Number	Fax Number	E-mail Address

Generator Manufacturer

Generator Hours Used

Generator Model

Generator Output

Generator Type

   None
   Gasoline
   Diesel
   Propane
   Natural Gas

Special Application Use

   None
   Towable
   Stationary
   Portable

Auto Start with Auto Transfer Switch

   None
   Electric Start
   Pull Start

Transfer Switch

   None
   Automatic
   Manual

Current Application Use

   Shop
   Factory
   Contractor
   Internet Service Provider
   Home
   Other, please specify:

Fuel Tank Type

Enclosure Type

Voltage

   Three Phase – 120/208
   Three Phase -120/240
   Three Phase -277/480
   Single Phase – 120/240

Additional Equipment

Company	Contact First Name	Contact Last Name
Street Address	Suite
City	State	Zip Code
Phone Number	Fax Number	E-mail Address

Generator Manufacturer

Generator Hours Used

Generator Model

Generator Output

Generator Type

   None
   Gasoline
   Diesel
   Propane
   Natural Gas

Special Application Use

   None
   Towable
   Stationary
   Portable

Auto Start with Auto Transfer Switch

   None
   Electric Start
   Pull Start

Transfer Switch

   None
   Automatic
   Manual

Current Application Use

   Shop
   Factory
   Contractor
   Internet Service Provider
   Home
   Other, please specify:

Fuel Tank Type

Enclosure Type

Voltage

   Three Phase – 120/208
   Three Phase -120/240
   Three Phase -277/480
   Single Phase – 120/240

Additional Equipment

Company	Contact First Name	Contact Last Name
Street Address	Suite
City	State	Zip Code
Phone Number	Fax Number	E-mail Address

Generator Manufacturer

Generator Hours Used

Generator Model

Generator Output

Generator Type

   None
   Gasoline
   Diesel
   Propane
   Natural Gas

Special Application Use

   None
   Towable
   Stationary
   Portable

Auto Start with Auto Transfer Switch

   None
   Electric Start
   Pull Start

Transfer Switch

   None
   Automatic
   Manual

Current Application Use

   Shop
   Factory
   Contractor
   Internet Service Provider
   Home
   Other, please specify:

Fuel Tank Type

Enclosure Type

Voltage

   Three Phase – 120/208
   Three Phase -120/240
   Three Phase -277/480
   Single Phase – 120/240

Additional Equipment

Company	Contact First Name	Contact Last Name
Street Address	Suite
City	State	Zip Code
Phone Number	Fax Number	E-mail Address

Generator Manufacturer

Generator Hours Used

Generator Model

Generator Output

Generator Type

   None
   Gasoline
   Diesel
   Propane
   Natural Gas

Special Application Use

   None
   Towable
   Stationary
   Portable

Auto Start with Auto Transfer Switch

   None
   Electric Start
   Pull Start

Transfer Switch

   None
   Automatic
   Manual

Current Application Use

   Shop
   Factory
   Contractor
   Internet Service Provider
   Home
   Other, please specify:

Fuel Tank Type

Enclosure Type

Voltage

   Three Phase – 120/208
   Three Phase -120/240
   Three Phase -277/480
   Single Phase – 120/240

Additional Equipment

Company	Contact First Name	Contact Last Name
Street Address	Suite
City	State	Zip Code
Phone Number	Fax Number	E-mail Address

Generator Manufacturer

Generator Hours Used

Generator Model

Generator Output

Generator Type

   None
   Gasoline
   Diesel
   Propane
   Natural Gas

Special Application Use

   None
   Towable
   Stationary
   Portable

Auto Start with Auto Transfer Switch

   None
   Electric Start
   Pull Start

Transfer Switch

   None
   Automatic
   Manual

Current Application Use

   Shop
   Factory
   Contractor
   Internet Service Provider
   Home
   Other, please specify:

Fuel Tank Type

Enclosure Type

Voltage

   Three Phase – 120/208
   Three Phase -120/240
   Three Phase -277/480
   Single Phase – 120/240