CUSTOMER SUPPORT   (213) 365-2899 (Voice)   (213)904-4859 (Fax) The following questions are for Resellers of Clutch Kits and Accessories. Please fill out Every Box Any incomplete forms will be automatically deleted. We would like to establish you a Potential Reseller Customer in our database. Please enter the information requested.   Company Name: Company Address: Phone number: Fax number: Address : First Name: Last Name: Email Address: What is the Primary Function of this company: How many employees do you have? 0 1-2 3-4 5-8 9 or more employees Do you have Purchasing Powers within your company? Yes No Are you able to Supply to eClutchmaster Financial information with regards to Terms and Conditions for Credit? Yes No Do you Support End User Customers with Repairs or Upgrades In-House? Yes No How Many Repair/Upgrade technicians do you currently have? 0 1-2 3-4 5-8 9 or more employees How Many Estimated Packages do you ship From Your Dock Daily ? (I.E. UPS,FedEx, Airborne, etc) 0 1-5 5-10 10-20 20 or more employees Please Select the subject areas you are most interested in: Domestic Automotive clutches Import Automotive clutches Domestic Truck clutches Import Truck clutches Performance Oriented clutches Heavy Truck clutches Industrial Equipment clutches Special Application clutches Would you accept E-Mail from eClutchmaster, with regards to New Products, Current Products, Pricing, Credit Terms and Conditions for approval. Yes No Comment