Paccar Public

Dealership Profile

Please fill in the profile information shown below. Your profile will be reviewed and upon
acceptance you will be notified via email when your account is available.

DEALER INFORMATION PROFILE
Company Name *
Address 1 *
Address 2
City *	State * Zip *
Country
Dealer Type *

PERSONAL INFORMATION
First Name *	Last Name *
Phone *		Yes, include me on emailed offerings
Fax *		Yes, include me on faxed offerings
Username/Email Address *
	USERNAME MUST BE YOUR CURRENT EMAIL ADDRESS
Password *

NOTE: Any information collected using this profile will not be used for any purpose other than internal accounting by Asset Appraisal Services. This information will not be sold or otherwise made available to the general public.