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Fire Extinguishers & Chemical Cabinets, Accessories, & Covers Fire Hose, Nozzles, Brass, & Hose Valves Emergency Response Products Sprinkler Accessories & Standpipe Equipment Fire Alarm Products Safety Products First Aid Products Exit & Emergency Lighting Signs, Labels, & Tags Service Equipment Fire Extinguisher Parts Restaurant System Parts Uniform & Logo Apparel Close Outs New Products Home > Get A Brooks Account > New Account Profile New Account Profile Account Name: Your Name: Owner's Name: Billing Address: Billing City: Billing State: Select One Alabama Alaska Arizona Arkansas Canada California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Billing Zip Code: Shipping Address: Shipping City: Shipping State: Select One Alabama Alaska Arizona Arkansas Canada California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Shipping Zip Code: Phone #: Fax #: Resale Tax #: SS # / Federal ID #: Purchasing Contact: Purchasing Phone: Purchasing Fax: Purchasing Email: Have you ever had an account with Brooks?  Yes  No   * if yes, what was the account number? Are you currently in the fire equipment business?  Yes  No   * if yes, for how long?   * if no, what type of business?     For how long? Do you belong to any associations?  Yes  No   * if yes, association name(s): Which of the following product line do you sell? (choose all that apply)   Fire Extinguishers Safety Products   Cabinets First Aid   Firehose Emergency / Exit Lights   Emergency Response Restaurant / Industrial Systems   Sprinklers Fire Alarms How did you find us? Preferred method of payment?  COD  Credit Card  Net 30                                                              (If Net 30, please fill out our Credit Application) Would you like to receive special promotions from Brooks via Fax and E-Mail? Yes  No << Go back to Get A Brooks Account.

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Copyright © 1999-2008     All Rights Reserved     Brooks Equipment Company     P.O.Box 481888     Charlotte, North Carolina 28269     800-826-3473