Enrollment Form

Form Completed by:

Phone

Date

Month

Day

Year

Dealer Group

Dealer Group Name

Website URL:

Point Of Contact (POC)

POC Title

POC Email

POC Phone

Address

Dealership

Dealership Name

Website

Dealership Address

General Managers Name

General Manager's Phone

General Manager's Email

Service Director's Name

Service Director's Phone

Service Director's Email

Billing

Billing Name

Billing Title

Billing Email

Billing Phone

Use Dealership Address as Billing Address (Otherwise complete below)

Billing Address

Motor Perks Set-Up

(Info needed to set-up your service offers)

Dealer Phone

Phone number on the "Call Button" link on Motor Perks

Dealer Email

"Contact Us" Link

Lead Notification Email(s)

Lead Notification Email will be notified when a customer enters thier info to request an offer (multiple emails allowed)

DMS/CRM System

DMS/CRM System is needed to enable sending of customer leads to the dealership system for tracking purposes

DRM/CMS Email Address

Dealership Point of Contact Name

POC Email

The following is for the Agent of Record for changes with your website, or who can authorize any changes. MotorPerks will work with this

individual to install the Motor Perks Service Offers page on your webiste:

POC Phone

Website Provier

Website Contact Name

Website Contact Phone

Website Contact Email

Technology & Marketing

IT Contact Name

IT Contact Email

IT Contact Phone

Marketing Contact Name

Marketing Contact Email

Marketing Contact Phone

info@MotorPerks.com

www.MotorPerks.com

(281) 387-4700

GROW YOUR SERVICE BUSINESS

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