New Vehicle Base Affiliation
Use this form for renewing your existing base affiliation or for filing a new vehicle base affiliations with Spacelinks (B03557)
Name
*
First Name
Last Name
Primary Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Second Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DOCUMENTS
Vehicle owner driver's license number
*
Copy of the vehicle owner driver's license
*
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of
A copy of the company's filing receipt if the vehicle is owned by a corporation
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Vehicle Identification number (VIN)
*
Proof of vehicle (Title, registration, or bill of sale)
*
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My Products
*
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Base Affiliation
Annual Base Affiliation Fees
$206.62
$
206.62
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
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October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
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2045
Expiration Year
DISCLAIMERS
*
** Important Notice** Spacelinks LLC is a licensed NYC TLC base/dispatch facility. Spacelinks does not own, lease, maintain, or operate vehicles and does not employ drivers. Affiliated drivers and fleets are independent businesses that maintain their own vehicles, permits, and FH-1 insurance. Any transportation service is performed solely by those independent providers. ** This is NOT a Promise to Hire** The purpose of this form is satisfy the TLC requirement mandating all FHV to be affiliated with a TLC licensed Base. Submitting this form does not constitute a promise or a commitment to hire you or partner with you by SPACELINKS. ** SMS Sign-up and Opt-In.** By submitting this form, you consents to receive text messages from the company for advertising purposes related to its services, promotions, or relevant updates. Message frequency varies. Unsubscribe any time by replying STOP. ** Privacy Policy.** Please consult https://www.spacelinks.us/privacy-policy for more information on the use of your personal information.
I agree to submit the following vehicle documents and update Spacelinks in case of vehicle replacement or change of ownership
*
- DMV Registration Card - TLC License (Diamond Sticker) -FHV Insurance (FH1 Dard, Certificate of Insurance, and Declaration Page) - Proof of ownership (e.g, Title, Bill of Sale) These documents must be submitted through this link:
Signature
*
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