Roadside Provider Information Form
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Company Profile Information

 
What is your company full name? *

 
What is your cellphone and office number? *

 
What is your first name? *

 
What is your first surname? *

 
What is your email address? *

 
Please provide us with your physical & postal addresses? *

 
Please provide us with your company registration, VAT number (if applicable)? *

 
List what areas do you cover? *

 
What is your fleet size?

How many vehicles do you have in your fleet?
 
How Many Flatbed trucks do you have? *

 
How many slingback tow trucks do you have? *

 
Costing structure

 
What is your call out Fee? *

Please stipulate if after hours is different to office hours?
 
What is your hourly labour rate fee? *

Please stipulate if after hours is different to office hours?
 
What do you charge for a trade tow and what is the radius before you charge per km? *

 
What do you charge for an Accident tow and what is the radius before you charge per km? *

 
What is your rate per km? *

 
What is your storage fee per day? *

 
Do you offer free storage and if so how many days? *

 
Response Times

 
What is your response time in Urban areas? *

 
What is your response times in Rural areas? *

 
Are you prepared to go into Locations/ townships/ informal settlements? *

     
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