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Registration

Canadian Customers: Click here for the Canadian registration form.
Recycler Yard Information:
  Formal Company Name:
  Billing Information
  Billing Address:
  Shipping Information
  Shipping Address:
  City:
 State:
 ZipCode:
  Contact Information
  Administrative Contact:
 Computer Tech Contact:
  Phone #1:
 Phone #2:
  Fax:
 Administrative E-Mail:
  Existing Web Site Name
http://


Your Business Hours:
 
Monday - Friday:
  Open   Close  
 
Saturday:
  Open   Close  
 
Time Zone  


Memberships:
  Check all that apply:
ARA® CARS® Gold Seal® URG® URG6000® URG7000® URG8000®
  State Organization Name:
  Local Organization Name:
  Other Organization Name:
 
Please publish the business data above on Car-Part.com Yes No
Parts Ordering Information:
  Company Name to Appear With Part Matches*:
  Phone Number to Appear With Part Matches:
  Email Address to Appear With Part Matches*:
 
Do you want to receive e-mail for parts not in stock?

If so, enter the e-mail address where you want to receive them.
No    Yes   

Current Inventory Management System:
  Hollander®# AIM® iSoft®
  Powerlink® PowerlinkII® No IMS
 
* Yard Number required for the following Inventory Management Systems
  Pinnacle® FastParts® Yard Number:
  Checkmate®** Checkmate®** Jr.
  Checkmate®** Classic Checkmate®** Cache

Services Order Form: 
  Web Site Domain Name Set-up $100 (US dollars) per name for 2 yrs
$150 (US dollars) per name for 10 yrs
 
What Web Site Domain Name do you have or want?* (Subject to availability)
    http://
 
Additional Web Site Domain Names: (Optional @ $100 (US dollars) per name for 2 yrs)
   
 
Web Server Set-Up (Required)
$150 (US dollars) per site (REQUIRED)
 
 
A. Host my Web Site with Inventory
$105 (US dollars)/month
Billed Monthly
--or--
$1100 (US dollars)/year
Paid after set-up
($160 (US dollars) discount)
 
B. I want my Web Site hosted by someone else and only want an Inventory Search Page added to my Web Site
$105 (US dollars)/month
Billed Monthly
--or--
$1100 (US dollars)/year
Paid after set-up
($160 (US dollars) discount)
 
  Do you need Web Site Development Services? Yes -- $100 (US dollars) and up
No
  Data Filters and/or Wholesale Page $5 (US dollars)/month each
(Display Wholesale Price to All)

 
  E-Mail Accounts Number of Accounts:
One Account free if Car-Part.com hosts my site.
$3 (US dollars) per month for each additional account.
  E-Mail Account Names
 
  Software and Misc.

$100 (US dollars) ProComm®
$40

(US dollars) Norton Anti-Virus®***
$20 (US dollars) A/B Switch

Miscellaneous Information:
  1. Do you currently have a PC with internet access connected to the Hollander®# or Checkmate®** system? Yes
No
  2. If no, will you be: replacing a terminal PC -- or -- adding another PC or workstation
  3. Will you be using a split screen function on your new workstation? Yes
No
  4. If adding a PC for another workstation, length of cable needed to connect internet access to Hollander®# or Checkmate®** computer? 6' 10' 25' 50'

Publication Information:
  Publish my inventory with mileage on Car-Part.com (Free with Web Site or Inventory Search)
  FREE -- Publish my inventory on all consolidated sites
of organizations hosted by Car-Part.com that I belong to.
  FREE -- Allow my inventory information to be forwarded to other companies
to be available for estimates and/or audits of estimates.
 
A. Do Not Publish my inventory on any Trading Group sites unless I consent in writing.
-- OR --
B. FREE - You can publish my inventory on trading group sites except for the following
  Publish Price for Trading Partner Searches:
Retail-No Charge Wholesale--($5 (US dollars) /month filter charge
  To order a custom Trading Group for yourself, fill out the "Trading Group Site Agreement"
($65 (US dollars)/month and $65 (US dollars) set-up fee).
  To order a custom Brokerage Page for yourself, fill out the "Brokerage Page Agreement"
 
  • All dollar values on this and any other Car-Part.com forms are US dollars unless noted otherwise.
    		•

      How did you become aware of our services? (Check all that apply)
    Magazine  Trade Show  Friend  Direct Mail  Internet  Salesperson:
      How many employees do you have?
      How many Internet-accessible screens do you have?

      Sales Contact Information
    Phone Number: 859-344-1925   Fax Number: 859-344-1954
      Car-Part.com's Terms and Conditions for Recycler Customers are incorporated in this Agreement,
    and by signing this form (if registration is in writing) or clicking the "Register Me" button (if registration is electronic), I am agreeing to be bound by that document. A faxed signature is considered an original on this form.
     



    _______________________________
    Signature
    _______________________________
    Print Name
      ***NORTON 2002 ANTIVIRUS® software is required on your upload PC. You are also required to keep the virus definitions up to date
    * Required field
    ** Trademark of CCITRIAD, not affiliated with Car-Part.com
    # Trademark owned by their respective owners, not affiliated with Car-Part.com
    Trademarks are the property of their respective owners and are not affiliated with Car-Part.com
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