Fleet Service Request Form

Fleet Service Request Form

Tell us briefly what you need and we're on it!
Company name*
Your name*
Email
example@example.com
Phone Number*

Area CodePhone Number
Brief description (optional)
or jump straight to the list bellow
Do you need our installers?*
... or are you only purchasing equipment outright?
Please Select All that Apply

Equipment Repair / Removal $175 per hrVan Shelving and/or LightingDash Camera - $350 and upBack Up Camera - $480 and up4-way flashers - $975Front / Rear Sensors - $575Other
School Bus DVR & Cameras - $1150 and upGPS Tracking - $275GPS Tracking w/ Dash Camera - $750Back Seat Passenger Reminder - $375Seat Cushions - $45 and upSmartphone Mount - $20 and upOther
How many cameras per bus and positioned where? *
(e.g front, mid-way, facing the door etc.)
Please describe*
Number of Vehicles / Systems*
Vehicle IDs - separated by a comma
Select One
Company name: {companyname304}
Contact Name: {yourname305}
Email: {email305}
Phone Number: {phonenumber305}
Brief description: {briefdescription305} {pleaseDescribe}
{pleaseSelect}
{input10}
No. of cameras per bus: {howMany}
Number of Vehicles : {numberOf12}
Summary
Installer
Select one
Job scheduled for*

MonthDayYear
Please select a tentaive installation date
Should be Empty: