NDT Order Form

Order NDTOrder Additional Tablets (Adding New Only - Not Lost/Stolen)Tablet Refresh / UpgradeLost, Stolen, Damaged, or Defective TabletOrder Delivery Network AccessMore Information
Setting up a new tablet? Click here to find your 9-digit store number.

Please have detailed vehicle info including VIN, and employee information ready before proceeding.
Name*

First NameLast Name
Store Address (If you wish to provide an alternate shipping address, please specify in notes section at the end of this form.)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
STORE / SITE Phone Number - Not Cell
Email*
example@example.com
Business Name / Ownership Group Name*
Store Number*
3 Digit Store Number
DC*
Company OwnedIndependent

YesNo
I need tabletsI will use my own
NDT Equipment Pricing

$30 per month, per device for the tablets. This covers cellular data, tablet case, and life cycle management (new tablets every 3 years)

$26.50 one-time activation fee per tablet.
How many tablets?*
How many charging stations? (10 Port Charging Dock)*
10 Port Base Stations
Vehicle Information*
Employee Information*
District Operations Manager Email
first_last@genpt.com
Tablet Refresh Information*
Note to NDT Team
How can we help?
If you have a tablet that is lost, stolen, damaged, or defective, contact:

Stratix Support 866-931-0106, Option 2.
Should be Empty: