Thank you for choosing Chase Fire Products Inc. We aim to set the bar for top notch service. As a new customer we need you to fill out the new customer application before we can service your business.

You have the option of filling out this form on our website or filling out a paper version of this form provided in PDF format and fax it to us at 718-383-8001

Customer Account App

New Customer Account Application
  • Please indicate your company's customer type for our records.
  • BILL TO

    Please fill out completely
  • Service Location

  • Contact person at service location
  • I HEREBY AUTHORIZE CHASE FIRE PRODUCTS INC. TO SERVICE THE LOCATION LISTED ABOVE.
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