Service center authorization request form
Repair Center
Contact Name
Address
City
Province / State
Ontario
British Columbia
Alberta
Saskatchewan
Manitoba
Quebec
New Brunswick
Nova Scotia
P.E.I.
Newfoundland
Yukon
N.W.T.
Nunavut
Canada
U.S.A.
Mexico
Postal Code
GST / HST #
Email
Phone
Fax
Labour Rate (/hr)
PCW Rate (/hr)
Parts Discount (%)
# of Licensed Mechanics
0
1
2
3
4
5
5+
How did you hear about us?
How did you hear about us?
Check all that apply:
Domestic Vehicles
Import Vehicles
Transmission RE
Differential
Transmission Repair/Rebuild
Electrical
Diesel
Electronic High Tech
Brakes
Air Conditioning
Fuel Systems
Loaner Vehicle
Towing