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Nissan Essential Tool Inventory and New Dealer Set-Up Form
1. Ordered By:
Dealer Name Dealer Code
Street Address
City State Zip Code
Phone Number where you can be reached during the day
Please print or type clearly to avoid errors.
ext.
3. Method of Payment:cCheck or Money Order *Contact Tech-Mate for Freight Charges
cNon-Vehicle Account (only available with purchase of complete kit)
cOpen Account (on approved credit)
cCharge to Credit Card Below – Order Subject to Confirmation by Tech-Mate
Check One
cVisa cMastercard cAmerican Express Expiration Date _________________Enter Credit Card Number in boxes provided below
Last 3 Digits of Securitiy Code (back of card)
Authorized Credit Card Signature _________________________________________
IMPORTANT!PLEASE FAX THIS SIGNED NEW DEALER SET-UP ORDER FORM TO
714-597-8410, ATTENTION: ACCOUNT SUPPORT REPRESENTATIVE.FAILURE TO FAX THIS SIGNED FORM TO THE CORRECT NUMBER
WILL DELAY THE PROCESSING OF YOUR NEW DEALER KIT ORDER. PLEASE DIRECT ANY QUESTIONS TO AN ACCOUNT SUPPORT
REPRESENTATIVE AT 714-597-8401.
2. Ship To: (Only if different than ordered by).
Name
Street Address
City State Zip Code
THIS SPACE FOR ORDERDEPARTMENT USE ONLY
CUSTOMER TOOLS LOB EQUIP. LOB
CUSTOMER PO
ANIS01 15006
To complete the special tool requirements for a new Dealer, please complete the following:
c For purchase of a complete Nissan Essential Tool Inventory, NISNDK
c For purchase of itemized tools, check tools desired in ORDER column of the inventory list
Dealer Authorized Signature ______________________________________________
Printed Name of Signer __________________________________________________
Date ________________________________________________________________
New dealer package $ _________________(Refer to spreadsheet for tool details) $ _________________ $ _________________ $ _________________ $ _________________ $ _________________ $ _________________Sales Tax $ _________________State and local sales and/or use tax will be added to order if applicableActual freight charges will be added to invoice.
Total $ _________________
1-800-662-2001 • nissantechmate.com
Promotion # NI18-59F
1-800-662-2001 • nissantechmate.com
Products sold F.O.B. Shipping point
Essential tools are critical to proper vehicle diagnosis, service and repair. For this reason, Nissan’s Dealer Sales and Service Agreement Standard Provisions require that Dealers obtain and maintain those tools identified by NNA as essential. Before any tool is designated as essential, Nissan engineering determines the need for the tool, and works closely with Tech-Mate to validate each tool’s function on the applied make/model. Additionally, Nissan considers any commercially available tool options prior to every tool release. Actual tool costs are driven by timing requirements, design, materials selected, manufacturing process, and low tool production volumes. Each tool is maintained in Tech-Mate inventory for over ten years after make/model end-of-production.
Promotion # NI18-59FRevised March, 2018
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
The following list contains the essential tools required for a new Nissan dealer. Please review the list below and contact Tech-Mate with any questions regarding specific tools or equipment. The document can also be used as an inventory sheet for existing Nissan dealers.
Prices Subject to Change * Shop
1-800-662-2001 • nissantechmate.com
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
Page 2
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
1 551243 Cable, Varistor Check Tool Repl
EE 11
2 1699200115 MTS 6513 Repro Tool EE 5
3 42-LD 020 Leak Detector AC 24
4 42-18465 Oil Injector AC 10
5 BT-8653-A Torque Angle Meter EE 13
6 J-8092Driver Handle EE 4
7 J-23688 Coolant & Battery Tester #7584L
EE 15
8 J-24460-92Cooling System Adapter
AC 15
9 J-25721-A Slide Hammer Set AT 12
10 J-26349-A Bearing Remover and Installer Set MT Bulk
Storage
11 J-28431-6 Fluorescent Oil Dye (6 - 1 oz. Bottles)
G 15
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
12 J-29545-6A Fluorescent Coolant Dye (6 - 3⁄4 oz. Bottles)
G 15
13 J-34301-C Automatic Transmission Oil Pressure Gauge Set
AT Bulk Storage
14 J-37066 Front Seal Installer AT 4
15 J-37228 Seal Cutter G 3
16 J-38365-NI Air Fuel Sensor Wrench
EE 3
17 J-38873-A Drive Plate Installer AC 1
18 J-41425-NISAL Tubing Repair Kit AC 17
19 J-42059 Power Outlet Remover
G 2
20 J-42578 Steering Wheel Puller Legs
SB 1
21 J-42738 Transfer Case Seal Installer
T 4
22 J-42909 EVAP Pressure Adapter Kit
FE 9
23 J-43897-18 18mm Oxygen Sensor Thread Cutter
EE 3
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
Promotion # NI18-59FRevised March, 2018
Prices Subject to Change * Shop
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
1-800-662-2001 • nissantechmate.com
Page 3
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
37 J-45741-AABS Sensor Checker SB 11
38 J-45747Lock Ring Tool,130mm
FE 14
39 J-45804 Strut Bracket Measuring Gauge
S 3
40 J-45816E20 TORX Socket EE 3
41 J-46211Fuel Tank Lock Ring Wrench
FE 14
42 J-46214Fuel Tank Lock Ring Wrench
FE 14
43 J-46528Drive Plate Location Guide
AT 1
44 J-46531TP55 TORX Plus Bit EE 14
45 J-46532Brake Height Tool SB 1
46 J-46534 Trim Tool Set G 2
47 J-46535 Idler Pulley Relief Tool
EE 12
48 J-46536 Fuel Lock Ring Wrench
FE 15
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
24 J-43926 A/C Leak Detection Kit
AC 17
25 J-44321-B Fuel Pressure Gauge Kit
FE 17
26 J-44372 5-60# Pull Gauge SB 10
27 J-44626 Air/Fuel Sensor Socket
EE 3
28 J-44716 Ring Gear Stopper EE 3
29 J-45073 Rear Axle Bearing Remover Kit
T *
30 J-45356 Gas Cap Adapter FE 15
31 J-45404 Alignment Tool AT 1
32 J-45488 Quick Connector Release (Quantity: 2)
FE 2
33 J-45542 Transmission Adapter AT Bulk
Storage
34 J-45695-A Coolant Refill Tool G 15
35 J-45722 Lock Ring Wrench FE 14
36 J-45737TP50 TORX Plus Bit
EE 3
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
Promotion # NI18-59FRevised March, 2018
Prices Subject to Change * Shop
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
1-800-662-2001 • nissantechmate.com
Page 4
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
61 J-47437Powervalve Alignment Tool
EE 10
62 J-47441-AJack Adapter AT Bulk
Storage
63 J-47447Crank Position Sensor Deburring Tool
EE 1
64 J-48755HEV Safety Kit EE EV Tool
Storage
65 J-48761Ring Gear Stopper EE 3
66 J-48767HEV ServiceHose Kit
AC 15
67 J-48817-EHarness Repair Kit EE *
68 J-48849Manual Trans Cable Adjuster MT 1
69 J-48850-15MYDVD,Update NAVI (set of 2 disc)
HDD Navigation System
2009 MY
USA
DISC2
©2008 Xanavi Informatics CorporationMADE IN JAPAN
Map Data Master Disc
DATA Ver. 0803001
HDM-0002U
VFZ2972
HDD Navigation System
HDM-0002U
VFZ2972
2009 MY
USA
DISC1
©2008 Xanavi Informatics CorporationMADE IN JAPAN
Map Data Master Disc
DATA Ver. 0803001
G 11
70 J-4889114mm Spark Plug Socket
EE 3
71 J-49029Strut Rod Clamp AC 12
72 J-49286Drift and Pull Gage Set
G 11
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
49 J-46538 Flameless Heat Gun
EE 1
50 J-47002Transmission Jack Adapter AT Bulk
Storage
51 J-47005Seal Installer AT 4
52 J-47007Brembo Brake Tool SB 16
53 J-47009 Connector Release Tool
G 3
54 J-47126Net Hook Tool G 1
55 J-47128 VQ Rear Main Seal Installer
EE 4
56 J-47242Engine Support Table G *
57 J-47244L/H CVT Seal Installer
AT 4
58 J-47245Ring Gear Stopper EE 3
59 J-47327Torque ScrewDriver EE 1
60 J-47329Vacuum Gauge Kit FE 6
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
Promotion # NI18-59FRevised March, 2018
Prices Subject to Change * Shop
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
1-800-662-2001 • nissantechmate.com
Page 5
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
84 J-50283 Rear Axle Rebuild Kit
T BulkStorage
85 J-50288VQ35 Ring Gear Stop EE 3
86 J-50364Direct Injection Seal Installer F 2
87 J-50366Direct Injector Puller F 2
88 J-50367Transfer Case Seal Installer
T 4
89 J-50393Case Differential Seal Installer T 4
90 J-50394Differential Seal Installer
T 4
91 J-50397Squeak & Rattle Repair Kit
G 9
92 J-50747Murano Side Seal Installer AT 4
93 J-50777 Versa Combi-meter Reprogramming Kit EE 17
94 J-508162:1 Applicator G 6
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
73 J-49387 Seat Track Gage G 1
74 J-49749 Brake Booster Vacuum Tool
SB 6
75 J-49815VQ40 Rear Oil Seal Installer
EE 4
76 J-49829Transmission Fill Pump AT *
77 J-50023Transmission Jack Adapter MT *
78 J-50097-FUELFuel Test Kit
FE Bulk Storage
79 J-50097-NONFUELFluid Test Kit FE Bulk
Storage
80 J-50190Signal Tech II EE 8
81 J-50246Secondary Shoe Installer
EE 3
82 J-50255-BCVT Transmission Kit AT 17
83 J-50278 33mm Specialty Wrench
SB 10
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
Promotion # NI18-59FRevised March, 2018
Prices Subject to Change * Shop
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
1-800-662-2001 • nissantechmate.com
Page 6
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
95 J-50817CVT3 Oil Pump Seal Installer
AT 4
96 J-50818CVT2 Oil Pump Seal Installer
AT 4
97 J-50835Pop Rivet Installer G 6
98 J-50836Tie Down Strap G 6
99 J-50867NS-2 Transmission Fill Pump
AT *
100 J-50878Drill Bit G 6
101 J-50976 Exhaust Pressure Decay Tool FE 12
102 J-50991Fuel Sensor Torque Wrench
FE 3
103 J-51001NS-3 Fluid Pump
AT *
104 J-51179Lane Departure Target EE Bulk
Storage
105 J-51269Oil Jet Jig, VK56 EE 9
106 J-51289 Seat Track Gauge
SRS 2J-51289
J-51289
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
107 J-51307CVT Transmission Adapter Kit
AT Bulk Storage
108 J-51315Airbag Fixture
SRS Bulk Storage
109 J-51338 T50 Pullet Wrench Kit (Juke)
EE 16
110 J-51360 USB Extension, 10 ft. SRS N/A
111 J-51387 HEV Ring Gear Stop G 3
112 J-51393 Engine Support Fixture (Juke)
EE 16
113 J-51513DLC Breakout Box EE 11
114 J-51594 USB to DLC Cable SRS 11
115 J-51595 CVT Lifter Bracket (Slinger) AT 6
116 J-51771 Smart Fit Radiator Pressure Test Kit AC 15
117 J-51782 AntennaDiagnostic Kit EE 17
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
Promotion # NI18-59FRevised March, 2018
Prices Subject to Change * Shop
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
1-800-662-2001 • nissantechmate.com
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
129 J-52082 CVT Lifting Bracket
AT BulkStorage
130 J-52173 Valeo AC Clutch Compressor Tool
AC 5
131 J-52226 Ring Gage Go/No-Go G 1
132 J-52227 Gas Venting Jig G 1
133 J-52231 Strut Prop Rod G 1
134 J-52233 Double Sided Velcro Fastener G 1
135 J-52258 Airbag Socket Depth Gage SRS 3
136 J-52266-NIS Driver Assistance Targets
SB *
137 J-52272 Assembly Guide Pins, Pulley Bracket
AT 3
138 J-52273 Clutch Engagement Tool
AT 5
139 J-52275 Side Cover Alignment Aid
AT 24
Page 7
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
118 J-51813 Fuel Sensor Socket EE 3
119 J-51863 Air Bag Spring Release Tool
SRS 2
120 J-51874 Trunk Torsion Spring Service Tool
FE 2
121 J-51875 EVAP Port Kit
FE 2
122 J-51909 Lifting Fixture, CVT AT 6
123 J-51922 Enhanced Multi Media Infotainment Tester - Emmit
G *
124 J-51951 Bore Scope Kit, 90 Degree Mirror EE 9
125 J-51959 Assembly Guide Pins AT 2
126 J-51963 Low Lint Lens Swab
EE 9
127 J-51980 TPMS Valve Stem Installer/Removal Tool
S 5
128 J-51981 Aisin Trans Jack Adapter AT Bulk
Storage
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
Promotion # NI18-59FRevised March, 2018
Prices Subject to Change * Shop
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
1-800-662-2001 • nissantechmate.com
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
140 J-52278 DX Input Seal Installer, Torque Converter
AT 4
141 J-52280 Seal Driver Handle, Short
AT 4
142 J-52281 Output/Axle Seal Installer (Case side)
AT 4
143 J-52282 Output/Axle Seal Installer (TC side)
AT 4
144 J-52283 Output/Axle Seal Installer (Case side) AT 4
145 J-52284 Output/Axle Seal Installer (TC side) AT 4
146 J-52306 DX Transmission Range Switch (PNP), CVT
AT 2
147 J-52352 2D Bar Code Scanner SRS 11
148 J-52390 2D Bar Code Scanner TC 3
149 J-52391 2D Bar Code Scanner TC 3
150 J-52469 Seal Protector Kit DA 5
Item Tool Number/Description/Illustration Group On Hand Order Drawer
No.
151 J-52504 Foam Spacer Alignment Tool SB 1
152 J-54400Cummins EngineTool Kit
EE BulkStorage
Subtotal for items #1–152
Page 8
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
Promotion # NI18-59FRevised March, 2018
Prices Subject to Change
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
1-800-662-2001 • nissantechmate.com
Page 9
Part No. Description Illustration On Hand Order
J-47446-CART Consult III Cart (Optional)
J-47446-PRNT Consult III Printer (Optional)
J-47446-COVER Consult III Cart Cover (Optional)
J-47446-WAR Extended Warranty from 3 yrs to 5 yrs (Optional) Art Not Available
CONSULT-III Optional AccessoriesEnhance your productivity by adding these options to your diagnostic tool.
Item# Part No. Description Illustration On Hand Order
154
J-54201 Includes: PC, VI2 vehicle
interface, AC and DC pow-er supplies, external DVD
player, DLC1 adapter, USB cable, security card,
carry case.
Consult Kit
Item# Part No. Description Illustration On Hand Order
153 J-51055-STSS1 Nissan Service Tool Storage System Option 1
153 J-51055-STSS2 Nissan Service Tool Storage System Option 2
153 J-51055-STSS3 Nissan Service Tool Storage System Option 3
Item #153: Special Tool Storage - Essential
Item #154: CONSULT Diagnostic Equipment
Subtotal for item #153
Subtotal for item #154
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
Promotion # NI18-59FRevised March, 2018
Prices Subject to Change
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
1-800-662-2001 • nissantechmate.com
Item# Part No. Description Illustration Group On Hand Order
155 1-20-2851-1 ICC/FCW Sensor Alignment Target EE
156 165-DSS-5000P-NI Midtronics Hand-Held Battery Tester EE*
157 165-GR8-1200KIT-NI Midtronics Battery Charger and Tester EE *
158 1-ACE-NIS Auto Comp Elite Lathe, Black with Nissan Adapters SB *
159
38-92-BASE-IBT
38-50-6ADP38-50-ACC
38-50-1200UPG38-50-1360
PFM9.2 Lathe and 2192 Trolley
Pro-Cut 5 AdapterPro-Cut Accessory
Pro-Cut G2X Upgrade (Optional)Pro-Cut GYR Upgrade (Optional)
SB
*
160 425-C9100020 PC Key Cutter Plus M *
161 48710 A/C Service Machine, R134a AC
162 697-95-0130-NIS Dual Pressure DiagnosticLeak Machine G
163 223-97202 Wireless Chassis Ear,with Four Sensors G
164 J-52405 R1234YF AC RRR Machine AC
Page 10
Item #155–164: Large Shop Items - Essential
Subtotal for items #155–164 Note: Either a Hunter or Pro-Cut OCL is required.
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
Promotion # NI18-59FRevised March, 2018
Prices Subject to Change
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
1-800-662-2001 • nissantechmate.com
Page 11
Item# Part No. Description Illustration On Hand Order
165 J-34296-1 Oil Seal Protector
166 J-48763 Left Side Seal Installer
167 J-48764 Right Side Seal Installer
168 J-48766 Input Oil Seal Installer
J-48766 INPUT SEAL INSTALLER
169 J-48877 Protector, L/S Seal
170
J-48851 Half Shaft Adapter
171 J-02619-5 Slide Hammer
172 J-8092 Driver Handle
Item #165–172: HEV Special Service ToolsAltima Hybrid: Applies only to States listed: CA, NY, CT, ME, MD, MA, NJ, NY, OR, PA, RI, VT, WA, D.C., NM, AZ
Instructions: Required for HEV Dealers. NOTE: The J-48755 Safety Kit is required for service procedures. Select one of the following:
Subtotal for items #165-172
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
Promotion # NI18-59FRevised March, 2018
Prices Subject to Change
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
1-800-662-2001 • nissantechmate.com
Page 12
Item# Part No. Description Illustration On Hand Order
173
J-50365 Workbench
174
J-50249 Leaf LiB Tool Kit
175 J-47446-EV-DIAG Security Card/Adapter
176
204-BX50W-NI LiB Lift Table
177
204-ST65H-NI LiB Pallet Stacker
178
16-2002 Floor Crane
Item #173–178: Leaf EV Shop Equipment & Service Tools** Instructions: Required & Recommended Items for Servicing the Nissan Leaf Electric Vehicle. NOTE: The J-48755 Safety Kit is required for service procedures.
** Item requirements determined by onsite survey. Subtotal for items #173-178
March 2018 Nissan Essential Tool Inventory and New Dealer Set-Up Form
Promotion # NI18-59FRevised March, 2018
Prices Subject to Change
KEY TO GROUP CODES:• Engine/Electrical - EE • Fuel Emissions - FE • Air Conditioning - AC • Manual Transmission - MT • Automatic Transmission - AT• Transaxle - T • Steering/Brakes - SB • Suspension - S • General - G • Supplemental Restraint System - SRS
1-800-662-2001 • nissantechmate.com
Page 13
Item# Part No. Description Illustration On Hand Order
179
J-47446-GTR GT-R Diagnostics Kit
FLICKER
3IMMOBILIZER
FLICKERINSERT
INSERT
CONSULT-III
CARDADAPTER
DIAGNOSIS &REPROGRAMMING
NISSAN GT-R
INSERT
1
180 J-49023 Brake Caliper Tool
181 J-49360 Gasket Scraper (Plastic)
182 J-50262 Transaxle Seal Installer
183 J-50392 ACM Holding Pins
Item# Part No. Description Illustration On Hand Order
184
1-175-509-1 Hunter Heavy Duty Hub Adapter
185
38-50-683R9 Pro-Cut Heavy Duty Hub Adapter
Item #179–183: GT-R Special Service Tools Instructions: Required for GTR Dealers. Select one of the following:
Item #184–185: NV Special Tools (Optional)
Subtotal for items #179–183
Subtotal for items #184–185 Note: Either a Hunter or Pro-Cut hub adapter is required for 3/4 Ton Axles.
Credit Application Return by FAX to the attention of:
USA: 800.962.8734Outside USA: 586.578.7377
Company InformationFull Legal Name/Business Entity: Phone #: Fax #:
Doing Business As (DBA): Buying Group / Dealer Affiliation: Dealer Code:
Billing Address: City: State: Zip:
Company Type: A/P Contact: A/P Phone #:o Proprietorship o Partnership (LLC) o Franchise o Corporation o Other:Sales Tax Exempt ? Year Business Established: Dun & Bradstreet Number:o Yes (Please provide exemption form) o NoFederal Tax ID (If Incorporated): State of Incorporation: Type of Business:
o Distributor o Dealership o Independent o Other :E-Mail Address(es): Website:
Credit Limit Request: $ _________________________
Owner Information (For Individually–Owned Businesses)Full Name (including middle initial): Title: Social Security #: (International customers provide personal ID #)
Home Address: City: State: Zip: Phone #:
Bank ReferenceBank Name: Account Number: Contact:
Address: City: State: Zip: Phone #:
Trade Credit ReferenceCompany Name: Contact:
Address: City: State: Zip: Phone #: Fax:
Trade Credit ReferenceCompany Name: Contact:
Address: City: State: Zip: Phone #: Fax:
Trade Credit ReferenceCompany Name: Contact:
Address: City: State: Zip: Phone #: Fax:
Applicant hereby applies for credit and affirms financial responsibility, ability and willingness to pay invoices in accordance with published days from the date of invoice. Applicant affirms the above information is warranted to be true and complete. Applicant hereby authorizes Bosch Automotive Service Solutions to verify and collect information on the company, including, but not limited to,bank references, trade credit references, consumer and/or commercial credit reports. Applicant acknowledges that in addition to this signedcredit application, credit approval may also require submission of financial statements, tax returns, and other financialinstruments as Bosch Automotive Service Solutions deems necessary. Applicant acknowledges that Bosch Automotive Service Solutionsreserves the right to reverse any credit decision if the information contained herein is found to be incorrect. Applicant further agrees to pay all costs of collection and litigation on this account in accordance with the laws of Bosch Automotive Service Solution’s Stateof Incorporation. Applicant agrees that all decisions with respect to the extension or continuation of credit shall be in the sole discretion of the Creditor. Title to goods passes to the Buyer at the point of shipment unless otherwise agreed to in writing.
Authorized Signature: Title: Date:
Authorized Signature: Title: Date:
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