New E-Vendor Request


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SERVICE PROVIDER DETAILS  
Company Name *
   

Street Address *     (No PO Boxes, RR etc.)
Fax Number:
( )   -
(Do not abbreviate)
City *   
   

State * 
ZIP * 
_______________________________________________________________________________________________
Remittance Address *     

City *   
    

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

Liability Insurance Expiration Date
  
Note: U-Haul Int'l requires 'Certificate of Insurance Liability' (COI) on all repair/maintenance vendors.
_______________________________________________________________________________________________
Email Address *   
Password *       
Confirm Email Address  
Confirm Password  
  Password: 6 to 10 characters. 
Include at least one number and
one upper case character.
It must NOT contain a special character.
Second Email Address (Not Required)   
_______________________________________________________________________________________________
Applicant First Name
Applicant Last Name
Applicant Title
LOWEST COMPETITOR RATES   
Regular
Hour Rate
After Hour Rate Mileage Rate
(Tow - 90/92)
Mileage Rate
(ERS - 91)
In House
Garage Rate
 
Labor Rate TRL   0.00 0.00 0.00 0.00 0.00   
Labor Rate TRK   0.00 0.00 0.00 0.00 0.00  
Towing DC (14') and Under   0.00 0.00 0.00 0.00 0.00  
Towing EL (17')   0.00 0.00 0.00 0.00 0.00  
Towing TT (20')   0.00 0.00 0.00 0.00 0.00  
Towing GH (24') and JH (26')   0.00 0.00 0.00 0.00 0.00  
Call-Out/Service Fee   0.00 0.00        
 Drive Shaft R&R Rate   0.00          
Collision Rate   0.00          
Mechanical Rate   0.00          
Transload Rate   0.00          
              

Version: 1.0.7.0