Welcome to Phoenix USA

Customer Registration

We are excited to have you as a customer. In order to provide better service of customers, we would like to learn more about your business. We maintain close control of our distribution and dealer network in order to maintain the overall quality and service.
Please complete and submit the form below.

 

Company Information (*Required Information)

Company Name *
Contact Person *
Street Address *
City *
State *
Postal Code (ZIP) *
Country *
Telephone *
Telephone2
Fax
Your Personal Email *
Company Email *
Company Website *
Mailing Address
(If different from above)
City
State
Postal Code (ZIP)
Country

What is the nature of your business?

Which of the following industries best suit your company?
Automotive Aftermarket
 Marine
Ambulance / EMS Recreation Vehicle
Bus / Mass transit Trailer
Chassis Towing / Recovery
Construction / Utility Wheel / Tire
Fire / Rescue other
Which of the following industries best suit your company?
Catalog House
Equipment Dealer
End-user / Consumer
Equipment Repair
Manufacturer
other
I would like to receive one of the following product guides:
LFLC04 - 2005 Full Line Catalog
LOEM98 - OEM Services Brochure
LSAM01 - Aftermarket Flyer
LPG04 - 2005 Full Line Price Guide
Your Comments: