Fleets & Dealers

When you choose a Purkeys product, you choose peace of mind

Our truck battery products make untimely road-calls and delays a thing of the past, keeping fleets on the road and on time.

Order Information

Order Date*
(Since Microsoft no longer supports Internet Explorer, the date function does not work in the Internet Explorer browser. Please to be sure to use Chrome, Safari, Firefox, or Edge when filling out this form. Thank you for your understanding.)

Contact First and Last Name*

Your Email*

Phone*

Billing Information

Bill To Company Name*

Address*

City*

State*

Zip Code*

Ship To Same As Billing: Yes

Ship To Company Name

Address

City

State

Zip Code

Order Type

Pay On Account or Pay by Credit Card?
On AccountCredit Card

PO Number

Card Type (choose one): VisaMastercard

Name on Card

Zip Code

For your safety, do not provide your Credit Card info on this form. You will be contacted directly via phone for your card number.

Requested Ship Date*
Please note that we are a build-to-order manufacturer. Our average lead time is 3 weeks on ALL orders.
However, we will do our best to get your order out as soon as possible.

Shipping Method: Ground3-Day2-DayNext Day

Notes/Comments

ITEM #1*:

QTY

Part#

Description:

ITEM #2:

QTY

Part#

Description:

ITEM #3:

QTY

Part#

Description:

ITEM #4:

QTY

Part#

Description:

ITEM #5:

QTY

Part#

Description:

The only thing more reliable than Purkeys products is Purkeys customer service.

If you have questions about our range of truck battery and electrical system solutions, feel free to call us at 1-800-219-1269 or email our team. We are here to help you.

When you choose a Purkeys product, you choose peace of mind

Our truck battery products make untimely road-calls and delays a thing of the past, keeping fleets on the road and on time.

Order Information

Billing Information

Order Type

The only thing more reliable than Purkeys products is Purkeys customer service.

If you have questions about our range of truck battery and electrical system solutions, feel free to call us at 1-800-219-1269 or email our team. We are here to help you.

PURKEYS

Please subscribe me to Purkeys newsletter.

Vehicle Power Division