PowerGen™ Request for Information

Whether you’re seeking additional information regarding one or more of Milbank’s PowerGen products; you’re inquiring about becoming a certified contractor; or want more information on becoming a Milbank dealer or distributor, fill out the form below and a Milbank team member will reply to your request in a timely manner.

I am a
     Electrical Contractor Distributor Home/Farm Owner Educational Institution Professional Business & Industrial Professional
I am interested in becoming a
     Milbank Authorized Generator Technician Milbank Authorized Generator Distributor
I am inquiring about
     Generators EVSE
Contact Information
* First Name
* Last Name
Business Address
Address (cont.)
State / Province
Zip / Postal
* Phone
* Email
Reason for request
     Immediate Need Future Reference
Additional Comments