Tire Discounters | Fleet Services

Fleet Service Application

Applicant Details

Company Details

Billing Address

Points of Contact

Fleet Manager
Accounts Payable

Tax Details

Information on Invoice

Other Details

Trade References

Three references required for billed account, n/a for cash accounts.
Please list vendors who extend open credit to your company. Do not list financial institutions.


This application does not require you to have your vehicles services at a Tire Discounters center; however it does authorize Tire Discounters to service your fleets in exchange for timely payments for services rendered.

The information provided in this application and any other information provided to Tire Discounters by the applicant is assumed to be accurate and complete and shall remain the property of Tire Discounters. You hereby authorize Tire Discounters to investigate and confirm you credit experience. Use of your account indicates acceptance of the terms of the Tire Discounters Fleet agreement.


Applicant Signature

Provide your signature in the box below using your mouse or touchpad.