Registration for Car-Part.com

US Customers: Click here for the US registration form.

Recycler Yard Information:
	Formal Company Name:
	Billing Information
	Billing Address:
	Shipping Information
	Shipping Address:
	City:	Province:	Postal Code:
	Contact Information
	Administrative Contact:	Computer Tech Contact:
	Phone #1:	Phone #2:
	Fax:	Administrative email:
	Existing Web Site Name http://

Your Business Hours:
	Monday - Friday:
	Open	Close
	Saturday:
	Open	Close
	Time Zone

Memberships:
	Check all that apply: ARA^® CARS^® Gold Seal^® URG^® URG6000^® URG7000^® URG8000^®
	Provincal organization:
	Local organization name:
	Other organization name:
	Please publish the business data above on Car-Part.com Yes No

Parts Ordering Information:
	Company name to appear with part matches*:
	Phone Number to appear with part matches:
	Email address to appear with part matches*:
	Do you want to receive email for parts not in stock? If so, enter the email address where you want to receive them:	No Yes

Current Inventory Management System:
	Hollander^®	AIM^®	iSoft^®
	Powerlink^®	PowerlinkII^®	No IMS
	* Yard Number required for the following inventory management systems
	Pinnacle^®	FastParts^®	Yard Number:
	Checkmate^®	Checkmate Jr.
	Checkmate Classic	Checkmate Cache

Services Order Form:
	Web site domain name setup	$125 CAN per name for 2 years $185 CAN per name for 10 years
	What Web site domain name do you have or want?* (Subject to availability):
		http://
	Additional Web site domain names: (Optional @ $125 CAN per name for 2 years)

	Web server setup (Required)	$275 CAN per site (REQUIRED)

	A. Host my Web site with inventory	$140 CAN/month Billed monthly --or-- $1490 CAN/year Paid after set-up ($190 CAN discount)
	B. I want my Web site hosted by someone else and only want an inventory search page added to my Web site	$140 CAN/month Billed Monthly --or-- $1490 CAN/year Paid after setup ($190 CAN discount)

	Do you need Web site development services?	Yes -- $150 CAN and up No
	Data filters and/or wholesale page	$6 CAN/month each (Display wholesale price to all)

	Email accounts	Number of accounts: One account free if Car-Part.com hosts my site. $4 CAN per month for each additional account.
	Email account names:

	Software and misc."	$125 CAN ProComm^® $50 CAN Norton Anti-Virus^®*** $30 CAN A/B Switch

Miscellaneous Information:
	1. Do you currently have a PC with Internet access connected to the Hollander or Checkmate system?	Yes No
	2. If no, will you be: replacing a terminal PC -- or -- adding another PC or workstation
	3. Will you be using a split screen function on your new workstation?	Yes No
	4. If your are adding a PC for another workstation, what length of cable will be needed to connect the Hollander or Checkmate computer to the Internet?	6' 10' 25' 50'

Publication Information:
	Publish my inventory with mileage on Car-Part.com (Free with Web site or inventory search)
	FREE -- Publish my inventory on all consolidated sites of organizations hosted by Car-Part.com that I belong to.
	FREE -- Allow my inventory information to be forwarded to other companies to be available for estimates and/or audits of estimates.
	A. Do not publish my inventory on any trading group sites unless I consent in writing. -- OR -- B. FREE - Publish my inventory on trading group sites except for the following:
	Publish price for Trading Partners searches: Retail-No Charge Wholesale--($6 CAN /month filter charge
	To order a custom trading group for yourself, fill out the Trading Group Site Agreement ($50 CAN/month and $75 CAN setup fee).
	To order a custom brokerage page for yourself, fill out the Brokerage Page Agreement
	All dollar values on this form are Canadian dollars.

	How did you become aware of our services? (Check all that apply) Magazine Trade show Friend Direct mail Internet Salesperson:
	How many employees do you have?
	How many Internet-accessible screens do you have?

	Sales Contact Information Phone Number: 859-344-1925 Fax Number: 859-344-1954
	Car-Part.com's Terms and Conditions for Recycler Customers are incorporated in this Agreement, and by signing this form (if registration is in writing) or clicking the "Register Me" button (if registration is electronic), I am agreeing to be bound by that document. A faxed signature is considered an original on this form.
		_______________________________ Signature _______________________________ Print Name
	***NORTON 2002 ANTIVIRUS^® software is required on your upload PC. You are also required to keep the virus definitions up to date
* Required field Trademarks are the property of their respective owners and are not affiliated with Car-Part.com ©1997-2010 Car-Part.com