Account Representative
Primary Contact Name | |
Primary Contact Title | |
Primary Contact Phone | |
Primary Contact Email |
Account Prefrences
Is a PO Required Prior at Order Entry? | |
(Note that if PO required, no service will be provided if not provided) | |
Can Drivers Request Service? |
Event Contacts
Group Email for Notifications | |
Breakdown/Maintenance Team Phone Number (Day) | |
Breakdown/Maintenance Team Phone Number (Night) |
Primary Contact Name | |
Primary Contact Email | |
Primary Contact Office Phone | |
Primary Contact Cell Phone |
Secondary Contact Name | |
Secondary Contact Email | |
Secondary Contact Office Phone | |
Secondary Contact Cell Phone |
Tertiary Contact Name | |
Tertiary Contact Email | |
Tertiary Contact Office Phone | |
Tertiary Contact Cell Phone |
Additional Event Instructions (No Billing Instructions)
Notification Protocol (Setting Communication Expectations)
Auto Email Notification Protocol
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Auto Text Message Protocol (To Driver)
|
Terms & Conditions Accepted by:
Accepted on:
T&C Version:
|
Note : When Repair Approval Required (Requires Setup with Michelin Rep)
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