IMPRINTED: Passenger/Light Duty Vehicle Inspection Report

Inspection Report

IMPRINTED: PASSENGER/LIGHT DUTY VEHICLE INSPECTION REPORT
Use this form to place an IMPRINTED: Passenger/Light Duty Vehicle Inspection Report Order. All orders will be confirmed by MVRO before final order placement. Please double check to ensure all information is correct. Standard delivery is 2 - 3 weeks. As these are special imprinted forms; there are no refunds and orders cannot be returned. ALL SALES ARE FINAL.
Order Contact Information (Required)
Please provide your contact information as we will need to follow up with you to confirm your order. Then proceed to the next step.
Dealership Name*
Contact Name*
First Last
Contact Email*
Enter Email Confirm Email
Contact Phone*
Shipping Address*
Street Address City Province Postal Code

Imprinted Forms Information
The information you provide here is what will appear on your contract. A sample of previous contract must be supplied for all REPEAT orders.
Motor Vehicle Inspection Station
Street Address City Province Postal Code
Phone
FAX Number
MVIS License Number

IMPRINTED: Passenger/Light Duty Vehicle Inspection Report
Please check if this is a first time order or a repeat order. Repeat orders require a sample of previous contract.
IS THIS A NEW OR REPEAT ORDER? REQUIRED*
- NEW - This is our first order
- REPEAT - This is a repeat order and we understand that a sample of our previous contract is required.
Previous Contract File Upload
Accepted file types: jpeg, jpg, png, pdf.
500 QTY Per Package (IMP-P/LD VIR)
Price: $ 237.00 CAD Quantity:
1000 QTY Per Package (IMP-P/LD VIR)
Price: $ 337.00 CAD Quantity:
1500 QTY Per Package (IMP-P/LD VIR)
Price: $ 484.00 CAD Quantity:
Order Total
Subtotal
$ 0.00 CAD
Shipping*
$ 50.00 CAD
*Shipping outside of the GTA will be billed at cost with proof.
H.S.T. Tax
$ 0.00 CAD
Total
$ 0.00 CAD

Your Order Summary
{all_fields}
Motor Vehicle Retailers of Ontario | 205 Riviera Drive, Unit 1, Markham, Ontario, L3R 5J6 | HST Vendor No. 105322820
Online Payment
Billing Address*
Same as Shipping

Street Address Address Line 2 City Province Postal Code
Credit Card*

American Express
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.