Internal Use: RFQ Number
Request for Quote
Please don't use the form for status requests. For status, email us at amfs.quotes@safefleet.net
Customer Information
Required Fields (Please type N/A if not applicable)
*
Please submit the following information for each vehicle and driver.
A spreadsheet may be attached below if you have more than 10 vehicles
Driver or Site Contact Information
Add a line for each contact
Driver or Site Contact for each location
Vehicle Information
Add a line for each vehicle to be serviced or attach a spreadsheet below
Number of Vehicles
*
Vehicle Type
*
Vehicle Identification Number
Fleet Vehicle Information- type NA if not applicable
*
Vehicle Location Information
Add a line for each vehicle to be serviced.
Location
*
Electric Vehicle
*
Yes
No
Diesel Vehicle
*
Yes
No
Shuttle Service Requested
*
Yes
No
Wheel Base
Roof Height
Please Select
Low
Medium
High
Bed Length
Please Select
5.5 ft
6.5 ft
8.0 ft
Cab Length
Please Select
Regular
Extended
Crew
If you have over ten vehicles, you can attach a spreadsheet with the vehicle information, location, and driver/contact information
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of
Service Request Information
Required -Choose a request type and use the space below to provide request details
Diagnostic Request
*
Please Select
YES
NO
Upfit Request
*
Please Select
YES
NO
GPS-Telematics Request
*
Please Select
YES
NO
Window Tints
Please utilize this space to provide additional information or specifications about the installation project that you would like AMFS to assist with.
Attach any specifications or photos needed to determine the quote.
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of
Print
Submit
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