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COMPANY INFORMATION
COMPANY INFORMATION
Company Name:
Address
Phone
Email Address
HST #
RIN #
CVOR #
UNDERSTANDING YOUR NEEDS
Have you been explained the details of the Lally Business Plus Program and understand our capabilities and the advantages?
YES
NO
How many vehicles are currently registered in the Business’ name?
Do you have a "Fleet Number" or are you registered with Manufacturer’s Fleet departments? If so which OEMs?
NO
FORD
GMC
DODGE
KIA
MAZDA
OTHER
How many additional or replacement vehicles do you estimate you will require over the next 12 months?
1
2-5
5 or more
When you acquire a vehicle, what is your primary payment structure?
Cash
Finance
Lease
Where do you normally have your maintenance done?
Where do you normally have your vehicle warranty work done?
Where do you normally have your repair work done?
Does your vehicle(s) require an annual yellow Commercial Safety Sticker?
YES
NO
How often do you pull trailers?
Sometimes
Never
Always
Would you require license plates for maximum towing?
YES
NO
What weight is the trailer and payload combined?
Will you require any additional lighting, storage, or cargo containment?
Are you a member of any of the following organizations?
OFA Landscape Ontario GM Supplier
Employee Ford Supplier
Employee FCA Supplier
Employee Other
Estimate annual vehicle repair and maintenance spend?