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  • National 1300 767 492
  • Australia Head Office +61 3 9467 6188

Forms Software User Request

Online Software User Request


MyCars Reseller
GPS Fleet Management Tracking Online Order Form

 

Agreement For the Purchase and Provision of GPS Application Hosting. Applicants must be ABN Holders.

Selling Dealer Details

*Indicates Mandatory Fields
Registered Company Name (If Pty. Ltd or Ltd)*
Trading Name*
ABN
Street Address*
Address (cont.)
Suburb*
State*
Post Code*
Work Phone*
FAX*
Company Website Address
   

Purchase Order Details

 
Name of Person Placing This Order*
Position Held*
Email Address*
Phone*
Fax
Mobile Telephone Number
Purchase Order Number   Please fax purchase order to 03 9466 7188
   

Accounts Payable Details

 
Accounts Payable Contact Name*
Email Address*
Phone*
Fax*
   

Billing Details

 
Billing Street Address*
Suburb*
State*
Post Code*
   
IntelliTrac Sales Person

   Insert the name of your IntelliTrac account rep

   
   
   

Purchaser Details

*Indicates Mandatory Fields
Purchaser Contact Name*
Registered Company Name (If Pty. Ltd or Ltd)*
Trading Name*
ABN
Street Address*
Address (cont.)
Suburb*
State*
Post Code*
Work Phone*
FAX*
Email Address*  
Company Website Address
   
   
Purchaser Login Details Additional users may be allocated when this application is accepted
Preferred Username
Preferred Password
Does the purchaser grant Logon access to the dealer to track and monitor?
   
   
 

Vehicle Make

Vehicle Model

Voltage

State
where to
be
Installed

Vehicle Rego Number

Vehicle Name

Vehicle Type

 
1  
2  
3  
4  
5  

    

Pricing

 
   
Type Of GPS Tracking Required
   
 Trackers  
Price of Each GPS Device +GST     
Who Will Install The Device?
Price to install each GPS Device + GST     
Number of GPS Devices Required                                             
Total Price GPS Tracking Devices + GST    
   
Water Resistant Enclosures  
Number of Water Resistant Enclosures Required
 Price of Each Enclosure   + GST
 Total Price Of Enclosures    + GST   
   
Total Purchase Price of System    + GST   
   
   

Calculation of Monthly ASP Fees

 
Monthly Fee to host each tracking system +GST
Total Monthly Fees  + GST
   
   
Dealer Billing Information  
   
IntelliTrac to Invoice Dealer
   
IntelliTrac to Invoice Purchaser (After Prepaid Period)  
   
Total Value Of This Order + GST
   

Please Note:- The purchaser will be required to complete a monthly direct debit form if Monthly Option is selected.
 

Complete them  and Fax to IntelliTrac on (03) 94667188 when submitting this application.

 

Any special comments you wish to add

Terms and Conditions of Sale:- Please read carefully and acknowledge

The Selling Dealer agrees with the terms and conditions of sale please answer YES             (type in capital letters)

The Purchaser agrees with the terms and conditions of sale please answer YES             (type in capital letters)

Reminder - Prior to Submitting this form please download banking Direct Debit Forms below,
Complete them  and Fax to IntelliTrac on (03) 94667188 when submitting this application