Customer Information Form

Company/Business Information

• Business Name

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• Business Address

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• Business Phone

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• Business Fax
• Business Website
• Are there additional business locations you want identified in our system? Select Option Yes No
• If yes, please list information and details of locations.
• Is a PO required on Parts and Service Invoices? Select Option Yes No
• Would you like to receive parts and service invoice copies electronically? Select Option Yes No
• If yes, to which email address(es)?
• Is your business Tax Exempt? Select Option Yes No

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• If yes, please fax a tax exempt certificate to 303-739-2559 or email it to customerservice@mctrux.com

Authorized Contact Information

• A/P Contact Name

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• A/P Contact Email

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• A/P Contact Phone

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• Parts Contact Name

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• Parts Contact Email

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• Parts Contact Phone

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• Service Contact Name

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• Service Contact Email

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• Service Contact Phone

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• Vehicle Purchasing Contact Name
• Vehicle Purchasing Contact Email
• Vehicle Purchasing Contact Phone
• Do you wish to receive occasional promotional marketing material from McCandless Truck Center? Select Option Yes No

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• What is your vocation or main line of business?
• Size and classes of current fleet?
• Do you own or lease your trucks? Select Option Own Lease Both

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• Do you have your own maintenance facility? Select Option Yes No

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• Do you wish to have an outside parts and service salesperson reach out to you? Select Option Yes No

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• Do you wish to have a truck salesperson reach out to you? Select Option Yes No

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• Please share any additional information or questions you may have.

• Submit