24 Hour Breakdown Assistance
For Trucks and Trailers
1-888-635-0005
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Sample Register Page

Service Provider Registration

Company

Address

Main Contact

Services Provided

Qualification Criteria

Pricing/Rates Information

Mechanical Repairs
Time Hours Labor
($/hr)		 Mileage
$/mile (If Any)		 Service Call (If Any)
Business Hours
After Hours

Additional Comments
Towing & Recovery
Time Hours Labor
($/hr)		 Hookup Fee
($)		 Mileage
($/mile)
Business Hours Tractor Only
After Hours Tractor Only
Business Hours Trailer
After Hours Trailer
Track & Trailer Towed In Tandem

Additional Comments
Tires
Time Hours Labor
(Hourly/Flat Fee)		 Mount/Dmt ($) Disposal ($) Mileage
$/mile (If Any)		 Service Call (If Any)
Business Hours
After Hours

Additional Comments

I hereby confirm that the above information, supplied by myself, is correct in every respect. Furthermore, I have read and fully understand and agree with your terms and conditions provided.