This form is both for new vendors who want to become a part of MTS or for our existing vendors that want to update their information.
New Vendor
Existing Vendor
Company Name:
Address:
City:
State:
Zip Code:
Email:
Phone Number:
Referred by:
24/7?
Yes
No
Office:
Fax:
24 Hour #:
Tow:
Page:
Cell:
Insurance:
Liability Insurance Valid through
/
/
Certificate of Liability Insurance required upon acceptance of towing company.
Contact Name:
Title:
Travel Distance:
Send names of towns
you tow to and from:
*You will be suprised how many calls you will receive
when the towns are listed.
MTS PAYMENT TERMS
(No invoices will be paid after 90 days from date of tow)
Rates: (Please note: MTS does NOT pay hourly rates)
Type/service
Base Rate
Mileage
Allowance
Chg. Per
loaded mile
Hook-up/Dispatch
W/side car
Jump Start
Fuel Delivery
GOA
Storage (per day)
Additional charges/exceptions
Is there another tow company you recommend in the event you are not available?
Equipment:
(check all that apply)
Flatbed:
Rollback:
M/C trailer:
M/C Wheel Lift:
Dolly:
*note: (must have soft straps for proper motorcycle tie down.)
BY CLICKING ON SUBMIT YOU AUTHORIZE THE COMPANY NAMED ABOVE TO COMMIT THE COMPANY TO CONTRACT TOWING FOR MOTORCYCLE TOWING SERVICES INC., AND CERTIFIES THAT THE COMPANY WILL RESPOND TO AUTHORIZED TOWING REQUESTS FROM MTS DISPATCHERS WITH THE PROPER EQUIPMENT, AND THE FASTEST TIME POSSIBLE.
Name:
Title:
Date:
105 N. State Street - P.O. Box 559 - Denver, IA 50622 | TOLL FREE: 800-999-7064 | PHONE: 319-984-6124 | FAX: 319-984-6132
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