Name Title Company Address Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon Postal code Fax Email


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Which of the following best describes your company's primary type of business at this location? (select one only) General Service & Repair Garages Brake & Alignment Shops Tire Sales & Service Service Stations with repair facilities Retail Parts & Accessories Store Automotive Jobbers and Wholesalers Body & Paint Shops Muffler Shops Other Specialized Service & Repair Shops Fleet Owners with repair facilities Manufacturers Agents & Distributors Electrical Service Shops

Do you specify, select or approve purchase of automotive parts and/or equipment?

Yes

No

What type of work is done at this location? (Check all that apply)

Brake service

Battery sales/service

Engine performance/emissions/tune-up

Electrical service-engine

Shock/strut service

Wheel alignment/wheel service

AC service

Emission control service

Clutch service

Engine repair/overhaul

Electrical service-chassis

Exhaust/muffler/catalytic converter

Steering/suspension service

Transmission/transaxle service or overhaul

Cooling system/radiator service

Fuel injection service

Diesel engine service

Other Information:

Number of working bays: Total technicians: Total apprentices: Number of other technicians that read copy: