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Independent Repair Facility - Canada
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 (*)
Please enter your Email Address.
Facility Information
Facility Name (*)
Please enter your Facility Name.
Please select business type (*)
-- Select a Business Type --
Sole Proprietor
Partnership
Corporation
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Physical Street Address (*)
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City (*)
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Province (*)
-- Select a Province --
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland/Labrador
Northwest Territories
Nova Scotia
Nunavet
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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Postal Code (*)
Please enter your company's Zip/Postal Code.
Telephone Number (*)
Please enter your telephone number.
Fax Number (*)
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What type of vehicles can your shop service?
Check all that apply
(*)
Buses - Full Size
Buses - Mini
Cars
CNG
Diesel
Equipment - Chair Lifts
Equipment - Forklifts
Equipment - Generators
Equipment - Hydraulic Booms
Equipment - Lift Gates
Propane
Tractors
Trailers
Trailers - Aluminum Body
Trucks - Class 1-3
Trucks - Class 4-6
Trucks - Class 7-9
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What services can your shop provide?
Check all that apply.
AC/Refer Units
Glass - Replacement
Inspections - DOT
Inspections - Emissions
Inspections - State
Mechanical (Major)
Mechanical (Minor)
On-Site Repairs - Minor Mechanical
Quick Lube
Tire Service
Towing
Wheel Chair Lifts
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What are your business hours?
Include hours of operation Sunday-Saturday.
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Does your facility (or your employees) hold provincial or inter-provincial licenses?
Yes    
No
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Do you provide 24-hour emergency service?
Yes    
No
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Are you willing to provide PHH a processing fee from the bottom line of each invoice?
Yes    
No
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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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