Meritor Service Point

Membership Application

To apply for Meritor Service Point Membership for your garage, simply complete the application form below and hit "SUBMIT".

* Indicates required field

 

* Company Name:
* Street Address:
* City:
* State/Province:
* ZIP/Postal Code:
* Country:
Total Annual Revenue:
$

 

Contact Information:

* E-Mail Address:
* Confirm E-Mail Address:
* Phone Number:
* Garage Manager:
* First Name:
* Last Name:
* Title/Job Position:
* Mobile Number:

 

* Service Information: (Check all that apply)













 

* Services Provided: (Check all that apply)













 

* Number of service bays:
* Number of service technicians:

 

* Does your location provide mobile services?

 

* Does your location provide warranty work?

 

Current certifications:
Current affiliations:
Current training:

 

* Does your location currently purchase Meritor or Meritor affiliated products?

 

* Please indicate who you currently purchase from:
* Company Name:
Company Name:
Company Name:
Company Name:
Company Name: