VSG Service Provider VSG Service Provider Questionnaire Company InformationPlease note that any contact information filled out here will receive service notifications via email.Company NameAccount/Customer #Primary ContactFor service/installation of lifts First Last PhoneEmail Do they have access to Lunati Garage? Yes NoSecondary Contact (Optional)For service/installation of lifts First Last PhoneEmail Do they have access to Lunati Garage? Yes NoCompany Website(if applicable) Does your company do work within the ServAll Program? (Firestone, Pep Boys, WAL-MART, etc.) Yes NoLift Inspector ProgramIs your company enrolled in the Automotive Lift Institute (ALI) Lift Inspector Certification Program? Yes No2. Number of Certified Inspectors on staff?Company CapabilitiesPlease check the boxes for equipment categories that your company INSTALLS Light Duty Above Ground Lifts (SPOA10AV, SPO10, AR/ARO14, etc.) Light Duty Inground Lifts (SL210, SL212, SLW210, etc.) Heavy Duty Above Ground Lifts (Parallelogram, V-REX, etc.) Heavy Duty Inground Lifts (HDI, EFX60/90, MOD235 Flex, etc.) Mobile Column Lifts (MACH, FLEX, etc.) Wheel Service Equipment (Tire Changers & Balancers) Wheel Service Alignment (Alignment Equipment) A/C Machines (R3AC50, R3AC60 & R3AC80)Please check the boxes for equipment categories that your company SERVICES Light Duty Above Ground Lifts (SPOA10AV, SPO10, AR/ARO14, etc.) Light Duty Inground Lifts (SL210, SL212, SLW210, etc.) Heavy Duty Above Ground Lifts (Parallelogram, V-REX, etc.) Heavy Duty Inground Lifts (HDI, EFX60/90, MOD235 Flex, etc.) Mobile Column Lifts (MACH, FLEX, etc.) Wheel Service Equipment (Tire Changers & Balancers) Wheel Service Alignment (Alignment Equipment) A/C Machines (R3AC50, R3AC60 & R3AC80)Emergency Service InformationEmergency Service Code E1 = 24/7 Emergency Service E2 = Limited Weekday and Weekends E3 = No Emergency ServiceEmergency Service Contact NamePhoneEmergency Service Secondary Contact Name (Optional)PhoneΔ