Reseller's Information

Reseller Company Name

Reseller Name

Client Personal Information

Client Company Name

Client Name

Address 1

Address 2

City

Province/State

Country

Postal/Zip Code

Home Phone

Business Phone

Fax

Email

Please check the Reseller Company Name as it is a required field.

Client's Unit Information

Unit SIM Phone Number
(if required)

Unit Type

Lasso FMS   Lasso S911P 
Lasso TT       Lasso TL 
Lasso TDP    Lasso TD 
Lasso BT 

Number Of Pings (locates) Required
(if required)

Infrequesnt (less than 11) 
Semi Frequent (less than 101) 
Frequent (5 min. locates)
Other 

Web Application Information

Make and Model of Vehicle

License Number

Tag Name For Vehicle

Activation Date

Time Zone

Web Application Username

Web Application Password

Comments/Questions