Fax Order Form
Fax# 781-828-8762
Emergency Energy Home


Full Name

Address

Name as it Appears on the card

Full Email ex:anyone@aol.com

Choose one: Visa Mastercard American Express Discover

Credit Card Number. Ex.0000-0000-0000-0000

Expiration Date Ex:dd-mm-yy or mm-yy

Choice of Generators

Generac 5000-6250 Watt Max Surge Generac 4000Watt XL

Generac 5000 Watt SE

Generac 5500 Watt XL Generac 6500 Watt Generac 10,000 Watt EX

Coleman 3800 Watt

Coleman Powerbase 5000-6250 Watt

Coleman 5000 Watt Maxa ER

Coleman Progen 5000

Coleman 7500 Watt Vertex

Generator Accessories

Qty 6 Circuit Transferswitch $249.00

Qty 10 Circuit Transferswitch $349.00

Qty Generac Transfer switch$349.00

Qty 50' 10/4 Twistlock Cord 20amp$179.00

Qty 50' 10/4 Twistlock Cord 30amp$199.00

Qty Bottle of Gas Stabilizer$15.00