Fleet Equipment Subscription Form
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What type of fleet does your firm operate?
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Other Private Fleets
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If Other Private Fleets (Please specify)
What best describes your basic business as it relates to a truck and/or bus fleet?
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Vehicle Dealer of trucks, tractors, trailers, buses, etc.
Wholesaler of components, parts, supplies or equipment
Independent Fleet Service/Repair Specialist
If Others (Please specify)
What is the total number of vehicles based or controlled from this location (including straight trucks, truck tractors, trailers, buses & off-road vehicles)?
Select your total number of vehicles
1,000 or more
Does your fleet include the following vehicles?
Class 1 and/or 2 (light duty-under 10,000 GVW)
Class 3,4 and/or 5 (10,001/19,500 GVW)
Class 6 (medium duty-19,501/26,000 GVW)
Class 7 (heavy duty-26,001/33,000 GVW)
Class 8 (heavy duty-over 33,000 GVW)
Diesel Powered Vehicles
Do you personally buy and/or specify Trucks, Trailers, Buses, and/or components?
Do you personally buy and/or specify replacement parts, supplies, shop equipment for maintenance and repair?
Are you responsible for the management of the maintenance and/or operating performance of your company's trucking equipment?
Does your company operate a fleet maintenance facility at this location?
As required by BPA Audit Bureau please provide the month you were born (January - December). This will replace an otherwise required signature.
Please provide the names of employees of your company who are responsible for the management of the fleet maintenance and would also like to receive FE:
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