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Company/Organization Contact Information
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Company / Organization Name:
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City:
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State:
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Zip/Postal Code:
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Contact
Name:
(Usually someone in Personnel or
Human Resources if signing up a company and its employees. Otherwise,
this should be the person in charge of handling new programs for
members or customers.)
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Title :
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Phone:
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Email Address:
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Would
you prefer to be contacted by Email?
Yes
No
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Tell
Us About Your Company, Association or Organization
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Company
Website Address:
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Type
of Company :
(What is your main business; i.e.
Hospital/Medical, Sales, Direct Marketing, etc.)
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Where
are your employees/members/customers located?
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Approximately
how many people will be participating in
the program?
Number
of Employees:
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Number
of Members:
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Number
of Customers:
(If you plan on offering this
program to your customers/distributors - additional requirements
may apply. We will contact you with the details of Extended
Partner Agreements.)
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Other
Information
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Would you like us to mention your name as the person who referred
us to the contact individual listed above? If so, please give
us your name and contact information below. (This information
is not required, but when your fellow coworkers & members
start saving money on their vehicle purchases, wouldn't it be
nice if they thanked YOU for initiating this great program?!)
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Your
Name:
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Your
Position or Title :
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Your
location, store, office, etc:
(If the contact person is in another
location, where could they find you?)
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Your
Phone:
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Your
Email Address:
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How did you find out about Vehicle Advantage?
HR Person
Member/Co-Worker
E-Mail
Magazine/Flyer
Company/Organization Website
Other Please Explain
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Would you like
information on our tax deductible vehicle donation program?
Yes
No
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Would you like
information about fund raisers for non-profits?
Yes
No
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Is there anything else you would like to tell us about your company/organization?
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Submit
Request
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Please
click the "submit" button when you are ready to send
your company information to us. Please wait for a confirmation
receipt for your request.
Thank
you!
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