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Internet Parts Department
Request
Authorization


 
Dealer Name _____________________________________                   Date _______________
Address ______________________________________________________________________
Contact _________________________________________   Voice Phone __________________
Internet E-Mail Address_____________________________________ Fax __________________
 

 ACCESS REQUIRED:

REYNOLDS SYSTEMS:
Parts Area with 6910,6930,2525,2120

ADP SYSTEMS
 Parts Area with I, UF, ENG, RPG, TRM, OE, OR

Pricing

Setup (1 Time Expense) $495
Monthly Maintanance Fee $250
Submit Your Website To 1000 Search Engines and 50000 Link Pages (Recommended) Included for Free

The above access allows ProQuotes to access the parts imput screens and report generators for the purpose of entering your web based orders into your DMS system. ProQuotes agrees to hold all information confidential.

Modem Number# ______________________________ System Type:  _____ R&R  ____ ADP
Alternate Modem(s) _____________________________ DMS IP/Telnet Address _______________
UserID ______________________________________  Upper Case / Lower Case (Please Circle One)
Password ____________________________________  Upper Case / Lower Case (Please Circle One)
Purchase Order# ________________
 
By signing below, you state that you have the authority to make this request, the PO# issued is valid and you authorize ProQuotes to access your system for the above purpose.
Signature ________________________________________________    Date ______________
 
Printed Name ________________________________________  Title ____________________

FAX TO 619-444-8852