New Customer Information | Redline Fire Co.

New Customer Information Form

Thank you for choosing Redline Fire Co. Please fill out the information below so we can get you set up and provide you with the best service possible. Fields marked with * are required.

👤 Contact Information

First Name *

Last Name *

Title / Position

Email *

Phone *

Preferred Contact Method

🏢 Business Information

Business / Company Name *

Business Type

Service Location *

Street Address

City

State

Zip Code

Billing address is different from service location

Billing Address

Street Address

City

State

Zip Code

Billing Contact Name

Billing Email

Number of Buildings / Locations

Number of Risers

System Type

Building / Sprinkler Drawings Optional — PDF, images, or CAD files

Current Fire Protection Provider

How Did You Hear About Us?

📅 Scheduling & Additional Info

Urgency

Preferred Schedule

Purchase Order Required?

Yes No Not Sure

Anything Else We Should Know?

New Customer Information Form

Fire Extinguisher Details

Fire Sprinkler Details

Fire Inspection Details

Underground / Site Utility Details

Backflow Testing Details

Kitchen Hood Suppression Details