BUY AMBULANCES for sale New and Pre-Owned

Export WDMO Form

Please fill out the form below in order for us to obtain export pricing. This form is used by the chassis manufactures (Ford, GM, Chrysler, etc.) in order to establish warranty availability and any applicable discount pricing. If this information is not completed accurately, specifically indicating the name of the company in which the MSO/Title will be issued, complete with the correct address, vehicles may not clear customs. All vehicles exported from the USA must have vehicle identification labels for the destination country affixed to the vehicle. If this exact process is not followed chassis warranty and pricing may be invalid. We WILL NOT contact your customer directly.

Customer MSO/Title Information
Country
Language
Name of Company In Which MSO/Title Will Be Issued
Company Street Address 1
Company Street Address 2
PO Box
City:
State/Prov:
Zip/Post Code:

Customer Contact Information
Contact Personal Title
Contact Proffesional Title
Contact First Name:
Last Name:
Email Address:
Phone:
Fax:
Comments:

Work Sheet- Please List Total Current Fleet Vehicles
List in each box total for cars trucks and other. If there are none in your fleet please list 0. (ie: 3cars 0 truck )
# of Ford Cars Trucks Total
# of GM Cars Trucks Total
# of Chrysler Cars Trucks Total
# of Other Cars Trucks Total
Classifications:
Total # Commercial
Total # Government
Total # Body Modifier
Total # Livery/Limo
Total # Utility
Do not enter anything in this field: