Complete All of the Following to Ensure Expedite Order of Your Unit

SEGWAY & T3 MOTION ORDER FORM

Complete all of the following to ensure expedite order of your unit.

Requester: Phone: Date Requested: Date Needed: DM Name: DM Phone: Branch Office:

SEGWAY T3 MOTION

What GL code should the lease coded to?

8580 (overhead) 8610 (non billable) 8611 (billable)

Account Name: Job:

Please provide overhead number or job number. Vehicle will not be ordered if left blank.

Trim Color: Green Blue Yellow Black

Standard “SECURITY” decals requested? Yes or No

If non standard custom decaling is required please specify:

NOTE:  Contract terms for both are 24 months.

 If the lease is to be directly billed back to your client please inform your respective billing team to set this up.

One stop shop for information on ABSS vehicles: http://clients.arifleet.com/Default.aspx? alias=clients.arifleet.com/alliedbarton  Unless the unit has a “VIN” insurance coverage won’t be necessary. All non insured units are covered under “General Liability”.

One stop shop for information on ABSS vehicles: http://clients.arifleet.com/Default.aspx? alias=clients.arifleet.com/alliedbarton