M&M Central - Southern - Western
Current Vehicle and Requisitioner
Area
Choose Your Region
Central M&M
Southern M&M
Western M&M
Driver
Driver's Position
Requisitioner Information
Requisitioner
Phone
Cell
EMail Address
Delivery Contact Information
Delivery Contact Person if not the Same as Requisitioner
Phone
Cell
EMail Address
Delivery Location
In which state will the vehicle be titled?
Choose
LA
MT
NM
OK
TX
UT
WY
Physical Field Location:
Choose your Approver from list . If not on list please type the name on the next line.
Approver is
Choose Your Approver
Tracy Carter
Brian Oliver
Richard Luedecke
David Pierce
NAME ENTER BELOW
Approver Name if not on list:
AFE Contact:
AFE Email
:
AFE Phone
:
Click Here for Lookup of Field Code, County, County Code
Company #:
Field Code:
County:
County #:
Vehicle Being Returned Information
Unit # Being Returned
Year, Make & Model
Mileage of Above Unit
If you are returning additional vehicles, please list them in the comments field. Be sure to include the unit#, make, model and mileage.
Vehicle Being Requested
Classification:
Select Classification
Lease Operator
Techinican
Mechanic
I & E Tech
Corrison Tech
Make of Truck:
Choose Your Make
Chevrolet Truck
Ford Truck
GMC Truck
Model of Truck::
Choose Your Truck
3500 Single Rear Wheel
3500 Dual Rear Wheels
Drive Train:
Choose the Drive Train
Truck with 2WD
Truck with 4 WD
Truck Bed:
Choose the Bed
Will Transfer Bed
8" Utility Bed without Flip Tops
8' Utility with Flip Tops
12' Uitlity Bed without Flip Tops
12' Utility Bed with Flip Tops
Engine:
Choose your engine
GM 6.0 Liter Gas Engine
Ford 6.2 Liter Gas Engine
Accessories
Crane
Choose Crane if Needed
None
Crane for 8' Bed
Crane for 12' Bed
If you have a make and model, please put in the comment section
HD Grill Guard:
Select YES or NO
No
Yes
INFO (Click Here)
Larger Alt.
Select YES or NO
No
Yes
INFO (Click Here)
Dual Batteries:
Select YES or NO
NO
Yes
INFO (Click Here)
Tires Needed:
Select Type of Tires Needed
1/2 Ton Truck All Season
1/2 Ton Truck All Terrain
1/2 Ton Truck 10 Ply All Season
1/2 Ton Truck 10 Ply All Terrain
3/4/1 Ton Truck All Season
3/4/1 Ton Truck All Terrain
Side Tube Steps
:
Select Yes or NO
YES
NO
Husky Floor Mats
:
Select YES or NO
NO
YES
INFO (Click Here)
Computer Stand Mount
Select YES or NO
NO
YES
INFO (Click Here)
Hands Free Bluetooth
Select YES or NO
NO
YES
INFO (Click Here)
Wilson Phone Amplifer
Select YES or NO
NO
YES
INFO (Click Here)
The Wilson Amp is for Drivers working in areas with poor cell phone reception.
*****
Requires VP Approval. Please put approver name in the comment section
ON Star GM Only
:
Select YES or NO
YES
NO
*****
INFO (Click Here)
Backup Sensors Dealer Installed:
Select Your Choice
Not Needed
4 Sensor Stratus Audio & Visual $300
Micro 4 Sensorr use with special bodies $350
*****
INFO (Click Here
)
Comments
:
If you have any questions about Options or Accessories, please call Dee Roberson at
(800) 934-4159
or Email
Dee.Roberson@hudifleet.com.
Chevrolet
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Pontiac
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GMC
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Ford
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Buick
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Toyota
|
Isuzu
|
Dodge
