Hyster - HY Source Parts Interest Form

Complete the form below to set up your Hyster® Customer Portal account. As a valued customer, you will:
- Have access to tools to find the right parts and order from the convenience of your home, office or shop.
- Have 24/7 access to technical parts information
- Have an authorized Hyster® dealer assigned to you for local support and order fulfillment
We will notify you once the account set-up is finalized, which should not take more than 4-5 business days.
Contact Information:
Contact Name*

First NameLast Name
Contact Email Address *
Must be a company email address (examplename@hyster.com)
Contact Phone Number*

Area CodePhone Number
Company Information:
Company Name*
Customer Number
Company Website*
Company Billing Address (non-residental)*

Street Address

Street Address Line 2

CityState

Postal / Zip CodeCountry
Company Billing Phone Number*

Area CodePhone Number
Company Shipping Address*

Street Address

Street Address Line 2

CityState

Postal / Zip CodeCountry
Company Shipping Phone Number*

Area CodePhone Number
Servicing Dealer Information:

If you know your servicing dealership, enter their information below.
Dealership Name
Dealership Location
e.g. Branch, Division, Location
Dealership Name OLD
Dealer Contact

First NameLast Name
Dealer Contact Email
example@example.com
Set-Up Information:

List users who will need access to submit orders through the portal*

	First Name	Last Name	Email Address (must be company email address)	Phone Number	Job Title	Should be copied on all orders submitted
User 1
User 2
User 3
User 4
User 5

Additional Comments*
Disclaimer

The Hyster Customer Portal is made available by Hyster Company. Parts orders received via the portal are sent to the authorize Hyster® dealer matched with your location. The Hyster dealer will fulfill the order and request payment.

Customer Portal parts orders are subject to authorized dealer review and approval.
Should be Empty: