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Equipment Repair - United States
Contact Information
Your Name (*)
Please enter the full name of someone to contact at this number.
Your Title (*)
Please enter the title of the person who should be contacted.
Business Email Address (*)
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Facility Information
Facility Name (*)
Please enter your Facility Name.
Physical Street Address (*)
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City (*)
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State (*)
-- Select a State --
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Zip Code (*)
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Telephone Number (*)
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Fax Number (*)
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Do you provide 24-hour emergency service?
Yes    
No
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Please select business type (*)
-- Select a Business Type --
Sole Proprietor
Partnership
Corporation
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Do you provide drop-ship courtesy delivery services?
Yes    
No
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Which of the following best describes the manufacturers represented by your shop?
Check all that apply.
(*)
American LaFrance   
Blue Bird   
Collins   
Ford   
Freightliner   
Fruehauf   
GM   
GMC   
Hyundai   
International   
Isuzu Trucks   
Kenworth   
Mack   
Mercedes-Benz   
Mid Bus   
Mitsubishi   
Mitsubishi Fuso   
Peterbilt   
Setra   
Sterling   
Thomas   
UD Trucks   
Volvo   
Volvo Trucks   
Wabash   
Western Star
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What type of equipment can your shop service?
Check all that apply
(*)
Aerial Lifts
Air Compressors
Air Tools
Compaction
Concrete and Masonry
Earthmoving
Electrical
Forklifts and Material handling
Generators and Welders
Pumps
Power Tools
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What are your business hours?
Include hours of operation Sunday-Saturday.
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What is your hourly labor rate?
Include labor rate for body, frame, mechanical, paint/material, refinish, and storage.
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Does your facility (or your employees) hold ASE certification? (*)
Yes    
No
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Is your business:
check all that apply
Hub Zone
Minority-owned
Small business
Veteran-owned
Women-owned
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If this inquiry is the result of a discussion with a PHH client, provide company name here.
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are required.
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