New Customer Form

ADVERTISEMENT

Interstar Fleet Services
500 Meijer Drive, Suite 300
Florence, KY 41042
Customer Service: 800-888-1001
NEW CUSTOMER FORM - Page 1 of 3
Company Name:
Physical Address:
City:
State:
Zip Code:
Billing Address:
Office Hours:
Title:
Main Contact:
Office Phone:
Mobile Phone:
Email:
Fax:
What type of service would you like?
Commercial (Tractor/Trailer, Coach, etc.)
Intermodal (Chassis/Container)
Please contact Customer Service if you need
Yes
No
May drivers call for and authorize service?
separate day and night service limits.
Tire Svc. Limit (Qty. or $):
Mech Svc. Limit ($):
Tow Svc. Limit ($):
Yes, before service
Yes, after service
No
Must we collect a P.O. number?
P.O. Contact Name:
P.O. Format:
Please mark any additional instructions to be followed when InterStar manages your road service:
Technician ask driver to keep casing
Technician should scrap casing
Other:___________________________________
(contact Customer Service with additional instructions)
How did you hear about InterStar North America?
Internet
Referred by intermodal equipment provider
Printed Advertisement
Referred by another trucking company
Referred by state or trucking organization
Other:_____________________________

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 3