Clone of Vendor Registration Form

Commercial Service Account

Contact information
Company Contact Information
Business Name
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Repair Order Contact
Primary Contact for repair approval and status updates:

First NameLast Name
Phone Number (Work)

Area CodePhone Number
Email
example@example.com
Phone Number (Mobile)

Area CodePhone Number
Preferred Contact Method
Do drivers have authority to approve repairs up to a predetermined amount?
What amount can your driver authorize repairs?
Dollar Amount
Internal
Account Number
Credit Amount
Fleet Discount
Should be Empty: