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/ Fleet Center
Fleet Center
Midas fleet application
Fleet Brochure
Company Details
Company name
(Required)
Business phone number
(Required)
Billing Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Tax Information
Federal tax ID
Is your business tax exempt?
No
Yes
Tax Exempt Certificate
(Required)
Max. file size: 32 MB.
If yes, you must include a copy of your tax exempt certifictate(s) with this application. Drag and drop your tax exempt certificate(s) into the box below.
Contact Information
Fleet manager name
(Required)
First
Last
Fleet manager phone number
Fleet manager email
Accounts payable contact
Same as fleet manager
Name
(Required)
First
Last
Accounts payable phone number
(Required)
Accounts payable email
(Required)
Send online account access to:
(Required)
Fleet manager
Accounts payable
Notifications
Send payment reminder notifications to:
Email addresses can be separated by commas, spaces, semi-colons, or on separate lines
Send invoice copies to:
Email addresses can be separated by commas, spaces, semi-colons, or on separate lines
Receive account activity summary on (check all that apply)
Daily
Weekly On:
Weekly On
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Number of invoices per .pdf attachment:
No Limit
1
2
3
4
5
10
20
30
40
50
100
Additional Details
Years in business
(Required)
Number of vehicles
(Required)
Who referred you? (Store street, store city, or person)
VINs on account
If you have a list of VINs in text (.txt, .csv) or Excel (.xlsx) format, drag and drop it into the box below or you can enter then one at a time in the provided field. This may take a few seconds depending on the size of the file.
VINs on account
Max. file size: 32 MB.
Drag and drop lists containing the VINs of your vehicles here (.txt, .csv, .xlsx accepted)
VINs on account
Add
Remove
Service area coverage
(Required)
i.e. States/Provinces/Regions.
Account restrictions
(If there are any, one per line - Example: Transmission work not allowed, no wiper blades covered, etc.)
Information required on invoices
Purchase order number (PO#)
Vehicle identification number (VIN)
License plate
Unit number
Driver's name
Authorization number
Authorizer (if Authorizer is selected please provide contact info.)
Department
Other
Please check any that apply
If other selected above
(Required)
Please tell us what other information is required.
Do you need a copy of MyFleetCenter's W-9?
Yes
No
Do you need fleet identification cards?
No
Yes
How many identification cards do you need?
Trade References
Please list vendors who extend credit to your company. Do not list financial institutions (such as banks or credit card companies), insurance companies, or any cash or COD accounts.
Reference 1
Company name
(Required)
Email
Phone
(Required)
Fax
Account number
Reference 2
Company name
(Required)
Email
Phone
(Required)
Fax
Account number
Reference 3
Company name
(Required)
Email
Phone
(Required)
Fax
Account number
Midas Fleet Agreement Terms
This agreement does not require you to have your vehicles serviced at a Midas Service Center; however, it does authorize Midas to service your fleets in exchange for timely payments for services rendered. Billing is handled by MyFleetCenter. A statement is delivered the first week of every month, and will include all services rendered, including services still outstanding from a previous month. Statements will be delivered via e-mail or fax unless otherwise requested. Payment is expected within thirty (30) days from the statement date and a late charge of five (5) percent or $20, whichever is higher, can be assessed against any past due amounts shown on the statement. Written notice to MyFleetCenter is required upon sale or transfer of any fleet vehicle. Failure to do so will obligate you for any charges after the transaction date. YOU HAVE THIRTY (30) DAYS FROM THE STATEMENT DATE TO NOTIFY MYFLEETCENTER OF ANY DISPUTED SERVICES. The customer agrees to pay any and all collection and legal fees incurred by Midas, regardless of whether legal action is taken. It is agreed and understood that payments shall be remitted to: MyFleetCenter, PO Box 620130, Middleton, WI 53562. The information provided in this application and any other information provided to Midas/MyFleetCenter by the applicant is assumed to be accurate and complete and shall remain the property of Midas/MyFleetCenter. You hereby authorize Midas/MyFleetCenter to investigate and confirm your credit experience and send marketing messages via email. Use of your account indicates acceptance of the terms of this agreement.
Authorized Digital Signature
Authorized by (your name)
(Required)
Authorized on date
(Required)
MM slash DD slash YYYY
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