Small Business Fleet Application

Business/Company Name *

Business Type * Select type... LLC Corporation Partnership Sole Proprietorship Non-Profit Other

Industry/Service Type * Select industry... Food Delivery/Catering Package/Courier Delivery Medical/Healthcare Services Home Services (Cleaning, Repair) Real Estate Services Cannabis Delivery Transportation Services Sales/Marketing Construction/Trades Retail/E-commerce Other

Years in Business * Select... Startup (0-1 years) 1-2 years 3-5 years 5-10 years 10+ years

EIN (Tax ID Number) Required for business credit and tax documentation

Number of Employees * Select... 1 (Just me) 2-5 6-10 11-25 26-50 50+

Contact First Name *

Contact Last Name *

Title/Position *

Business Email *

Business Phone *

Business Website

Number of Vehicles Needed * Select... 1 vehicle 2-3 vehicles 4-5 vehicles 6-10 vehicles 10+ vehicles

Preferred Lease Length * Select... 1 month (Testing/Trial) 3 months (Short-term) 6 months (Standard) 12 months (Long-term) Flexible/Open to discussion

Monthly Fleet Budget * Select budget range... Under $2,000 $2,000 - $5,000 $5,000 - $10,000 $10,000 - $20,000 $20,000 - $50,000 Over $50,000 Need consultation

Desired Start Date * Select timeline... Immediately (within 1 week) Within 2 weeks Within 1 month Within 2-3 months Planning for future (3+ months)