CHASS-E REQUEST - BOLLINGER MOTORS

PLEASE FILL OUT THIS FORM, AND A MEMBER OF OUR SALES TEAM WILL REACH OUT TO YOU VERY SOON!

Name*
First Last
Which vehicle or platform are you interested in?*
- B1
- B2
- B2 Chassis Cab
- Chass-E
- Deliver-E
Company Name*
Position/Job Title*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Number of DELIVER-E vans needed*
Number of CHASS-E platforms needed*
Number of B2 Chassis Cabs needed*
Type of Interest or Business*
Current Fleet Size*