Fleet Account Application

Fleet Application

Thank you for choosing SAS Towing & Fleet Recovery for your fleet's service needs. Complete every section below so we can set up your charge account. Approval usually takes 2-3 business days.
Business Information
Legal Business Name
DBA / Trade Name
Business Type
Federal Tax ID (EIN)
Years in Business
Physical Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Main Phone
Please enter a valid phone number.Format: (000) 000-0000.
Business Email
example@example.com
Website
Owner / Principal Name

First NameLast Name
Owner / Principal Title
Owner / Principal Phone
Please enter a valid phone number.Format: (000) 000-0000.
Owner / Principal Email
example@example.com
Tax Exempt
Exemption Certificate

Cancelof
Accounts Payable Contact Name

First NameMiddle NameLast Name
Title
Direct Phone
Please enter a valid phone number.Format: (000) 000-0000.
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
AP Email for Invoices
example@example.com
Billing Address (if different)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Purchase Order Required
Invoice Delivery Preference
Preferred Payment Method
Secondary Billing Contact Name

First NameMiddle NameLast Name
Secondary Billing Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Billing Contact Email
example@example.com
Fleet Details and Authorized Users
Number of Vehicles in Fleet
Vehicle Types
Primary Operating Area
Dispatch/Fleet Manager Name

First NameMiddle NameLast Name
Dispatch Phone (24/7 if available)
Please enter a valid phone number.Format: (000) 000-0000.
Dispatch Email
example@example.com
Only the people listed below may authorize service charges to this account.
Authorized Users
Vehicle List (year, make, model, unit #, VIN, plate)

Cancelof
Services Requested
Services Requested
Spending Limit per Service Call (USD)
Payment Terms Requested
Payment Terms Requested
Requested Credit Limit (USD)
Trade References
Trade References
Terms and Conditions
Authorization and Signature
Authorization Agent
Signature
Printed Name

First NameLast Name
Title
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Fleet Application

Business Information

Fleet Details and Authorized Users

Services Requested

Payment Terms Requested

Trade References

Terms and Conditions

Authorization and Signature