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New Account Report
admin
2023-11-02T08:37:55-05:00
New Account
to be filled out whenever a new account is acquired
01. Please select your name from the dropdown list
(Required)
DROPDOWN MENU
BAUM, Steve
BERLIN, Jake
BUTLER, Robert
CHIPMAN, Brian
DOMENICK, Tim
FELKER, Sean
MCNERNEY, Daniel
QUIRK, Tom
ROGERS, Joe
SADLER, Ryan
SATHRE, Matt
STOUT, Gary
01a. Enter your Email address to ensure you get a copy of this report
(Required)
Account Identification
02. Date first order was submitted or is being submitted.
(Required)
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
03. Name of Account
(Required)
04. New Account type
(Required)
Single Car Wash
Multi-site Car Wash
Truck Wash
Distributor
05. Location. Please indicate City and State for single sites. Please include number of sites and general location for multi site operators. Please include a general description of a distributor's territory.
(Required)
06. If your new account is a car wash, please check the type of wash (check all that apply)
full service
express exterior
IBA
self serve
Chemicals, Revenue, Service
07. Who has been the chemical supplier for this account prior to VTL? If it is a new build, write N/A.
(Required)
08. What is your estimate of annual VTL revenue for this account? If through distributor, annual VTL revenue is defined by distributor buy price.
(Required)
08. Percent of account that will be using Ver-tech products
(Required)
100% of account will be using VTL products
50 - 99% of account will be using VTL products
less than 50% of account will be using VTL products
09. What chemicals will this account be using each month? List Product SKU, name and estimated quantity each month.
(Required)
11. If a discount level was offered, please indicate the percentage off list price.
(Required)
12. On site service expectations
(Required)
phone/text/email consultation only
1x annual visit and phone/text/email consultation
1x every other month
1x per month
2x per month
1x per week
