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RSM SERVICE PROVIDER PROGRAM

WHY NOT EXPAND YOUR ROADSIDE SERVICES TO OUR MEMBERS

Review the latest Membership Handbook for each type of Membership thoroughly for the full details of the Emergency Roadside Assistance service benefits and limitations.

DOWNLOAD MEMBERSHIP HANDBOOK >>

Service Provider Application

Roadside Service Providers such as Towing Companies, Roadside Repair and etc, please fill out the Independent Service Provider Application Form below. This form provides the necessary information required by RoadsideMASTERS.com to qualify you for the Service Provider program, only vendors who provide the necessary information in the form, and qualify will be contacted by RoadsideMASTERS.com.

Open

Being accepted as a service provider, you understand that while RoadsideMASTERS.com is responsible for payment for services rendered, you are an independent contractor, and have no affiliation with RoadsideMASTERS.com.



Insurance Requirements:
In order to keep you in our dispatch system, RoadsideMASTERS.com must have on file at all times, a copy of your current certificate of insurance. Please ask your insurance agent to list RoadsideMASTERS.com as a certificate holder, and submit your insurance certificate using the Vendor Portal.

The vast majority of questions for service providers / vendors are answered in our Vendor FAQ (CLICK HERE). If you've already signed up and need to submit your insurance details, CLICK HERE for the Vendor Portal

Do you offer services for Semi Trucks / Heavy Duty?

Please make sure all of the below pricing is for light/medium duty since you have selected that you do not offer services for heavy-duty.

* Indicates required field

BUSINESS INFORMATION

Heavy Duty Towing:
    
Do you offer Towing: * Can you tow a
Truck & Trailer?: *
By Mile or Hour: Cost per Mile:
(only numbers here) 		$
Cost per Hour:
(only enter numbers here) 		$    
Drive Shaft Fee:
(if any, only enter numbers here) 		$ Hook Fee:
(if any, only numbers here) 		$

Heavy Duty Service Call Fees & Rates:
This is for Semi Truck Tractor + Trailer / If you don't offer heavy duty, say NO.

If your price is over our maximum allowed, you can either lower the price or choose not to offer that particular service.
Service: Yes/No Flat Call Out Fee
(if any, enter $0 if none) 		Hourly Labor Rate
(if any, enter $0 if none)
Mobile Repair:* $
$
Tire Repair:* $
$
Tire Replacement:* $
$
Flat Tire Change:* $
$
Lock Outs:* $
$
Fuel / Fluid Delivery:* $
$
Pull/Jump Starts:* $
$
Parts Delivery:* $
$
Winching/Extraction:* $
$
Do you carry an air compressor?*    
Gone on Arrival Fee:
(if any, enter 0 for none) 		$
Payment Methods:

Credit Card
Comcheck
EFS
Personal Check

Hours Open:

til (click for 24 hours)


Notes:

SIGNATURE

Thank you for submitting your bid to RoadsideMASTERS.com. Existing rates will apply unless renegotiated by both parties. Please allow 2 weeks for processing.


IN ORDER TO BE A PROVIDER OF SERVICES FOR ROADSIDE MASTERS YOU ARE TO PROVIDE US WITH PROOF OF INSURANCE COVERAGE AS WELL AS AN SIGNED ACKNOWLEDGEMENT THAT YOU AND YOUR COMPANY HAVE A DUTY TO DEFEND ROADSIDE MASTERS AND HOLD US HARMLESS FROM ANY ACTIONS THAT OCCUR OR ARISE DURING THE PERFORMANCE OF YOUR DUTIES ON THOSE CUSTOMERS THAT ROADSIDE MASTERS PROVIDES TO YOU.

PLEASE SIGN BELOW TO ACKNOWLEDGE AND AGREE TO THE ABOVE STATEMENT:



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