COMPANY PROFILE


Please print this form, fill it out and fax it (914 377-8119) or mail it to
SMITH CAIRNS Business Preferred
900 Central Park Avenue
Yonkers, New York 10704

Name:____________________________________________________________________________________

Company Address:__________________________________________________________________________

City:___________________________________________ State:________________ Zip:_________________

Phone:___________________________________ E-Mail Address:__________________________________

Fax:_____________________________________ Home Page URL _________________________________

CEO:____________________________________ President:_______________________________________

General Manager:__________________________ Purchasing Manager:______________________________

Human Resource Manager:___________________ Fleet Manager:__________________________________

Other Phone Numbers: Name:________________________ Number:___________________________

Name:________________________ Number:___________________________

Name:________________________ Number:___________________________

Please indicate everyday transportation contact person with an *

Number of company locations:______________________ Number of employees:_______________________

Number of employees at this location:________________ Years in business:___________________________

Number of business vehicles: Cars:_________ Vans:_________ Trucks:_________ Others:_________

Number of vehicle makes: Ford:_________ GM:__________ Chrysler:_______ Imports:_________

Special equipment used on your vehicles:________________________________________________________

Purchase methods: Cash:___________% Finance:_________% Lease:__________%

If financed, who with?:_________________ If leased, who with?:______________ Open( ) or Closed( ) end?

Where are vehicle garaged?___________________________________________________________________

What is the companys maintenance policy?______________________________________________________

Where do you have the maintenance performed?___________________________________________________

Do you have extended warranties on your vehicles?______ If yes, whose warranty?______________________

What is the present method of used vehicle disposal?_______________________________________________

Do you need to rent vehicles when yours are in for maintenance?_____________________________________