Application for Registration as a General Motors South Africa Fleet Operator

Company Name:

Company Postal Address: Postal Code:

Company e-mail address: Company Reg No: Company Vat Number: Company Web site Address:

Contact Person: Contact Tel No:

Designation:

Total Fleet Size (number): Incl GM vehicles Total Passenger (number): Incl GM vehicles Total LCV (number): Incl GM vehicles Total HCV (number): Incl GM vehicles GM Passenger (number): GM LCV (number): GM HCV (number):

Replacement Cycle (eg 3yrs/120 000km): Total no. Units Purchased 2009: Total no. Units Purchased 2010: No.GMSA Units Purchased 2009: No.GMSA Units Purchased 2010: Planned Purchases For 2011:

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