Congratulations on your approval to be a Jetta partner!

We are excited to work with you. Once you complete the information below we can begin setting your account up to streamline your experience.

Distribution Partner Setup

Company Name*

What is the main phone number for this location?*

Who is the main contact for your location?*

Main Contact Email Address*

Title of Main Contact*

Billing Address - Street*

Billing Address - City*

Billing Address - State*

Billing Address - Zip Code*

Is this location Tax Exempt?*

Yes

Exemption number (if tax exempt)

If Exempt - Upload Tax Exempt Certificate

Choose file

Would you like to apply for a credit account?

Yes

Accounts Payable Contact Name*

Accounts Payable Contact Email*

Accounts Payable Contact Phone Number*

Shipping Address - Street*

Shipping Address- City*

Shipping Address - State*

Shipping Address - Zip Code*

Who should we contact to schedule deliveries?*

Email address for delivery scheduling contact.*

Phone number for delivery scheduling contact.*

Can your location accept a 53ft tractor trailer for deliveries?*

Yes

Who is the locations main purchasing contact?*

Email address for main purchasing contact.*

What is the phone number for the main purchasing contact?*

Do you have a preferred repair technician? if so, please let us know their business name and the best form of contact.

Which Jetta Representative have you been working with?*