Dealer and Volume Purchasing Registration

Please complete the form below to apply to become a FireBot dealer. Once we receive your application we will get in touch with you ASAP to complete your registration. Thanks for your interest in FireBot!

Name(Required)

First Last

Company(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Industry(Required)

Hospitality

Insurance

Property Management

Public Safety

Other

Number of Units Under Management

Estimated annual units

Tax Exempt Certificate (optional)

Max. file size: 128 MB.

CAPTCHA

Your Cart