Completed by
Date
COMPANY INFORMATION
Company
Address
City
Province
Postal Code
Type of industryBusColision Body ShopHighway FleetIndependent Repair ShopLeasing FleetOwner OperatorParts RetailerPick up & Delivery FleetQuick Service ShopVocational FleetOther
Number of vehicles1-2425-100101-250251-499500+
Purchase potential<50 000, 00$50 000, 00$100 000, 00$150 000, 00$200 000, 00$250 000, 00$
Main dealerPointe-ClaireMontréal-EstBouchervilleQuébecLévisSaint-GeorgesSherbrookeTrois-Rivières
Account no. (KARMAK/SERTI)
DTNA ID (if applicable)
CONTACT INFORMATION
Contact Name
Email Address
Office Phone
Cellphone
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