VENDOR DASHBOARD   
 

New E-Vendor Request



* Did you start a request form and would like to continue? >>Click HERE<<
>> You have 20 minutes to fill out each section of the form otherwise the data will not be saved and the session will be terminated. <<
SERVICE PROVIDER DETAILS  
Company Name * 
   
Street Address *  
Fax Number:
( )   -
(Do not abbreviate)
City *    
  
State * 
ZIP *  
  
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Remittance Address *      

City *    
  
     		State
ZIP *   
  
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Federal Tax Id No.
 Business License/Permit No. 
QST No.
Liability Insurance Carrier

Liability Insurance Expiration Date
  
Note: U-Haul Int'l requires 'Certificate of Insurance Liability' (COI) on all repair/maintenance vendors.
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Email Address *   
Password:      
Confirm Email Address *  
Confirm Password *  
 Password: At least 6 characters. Include at least
one number and one upper case character.
It must NOT contain a special character.
Do NOT use your email account password
Second Email Address (Not Required)   
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Applicant First Name
Applicant Last Name
Applicant Title
2.0.0.13