Fleet Warranty Group, LLC
Serving Agents and Dealers Nationally

Serving: AZ, CA, CO, NV, NM, TX

FWG-SHIELD

Environmental Shield

Chemical Order Form
Easy Shield case of 6/32 OZ bottles - $787.65  Number of cases
Easy Shield 2.5 Gal Carboy with pour spigot = $1,294.00  Number of 2.5 Gal Carboys
Easy Shield 5 Gal Carboy with pour spigot = $2,450.00

 Number of 5 Gal Carboys
.:
Quick Shield case of 6/32 OZ bottles = $787.65  Number of cases
Quick Shield 2.5 Gal Carboy with spigot = $1,294.00  Number of 2.5 Gal Carboys
Quick Shield 5 Gal Carboy with spigot = $2,450.00

 Number of 5 Gal Carboys
.:
Premium Shield Automotive Kit - $76.50  Number of  Kits
Premium Shield Power Sport Kit - $76.50  Number of kits
Premium Shield 2.5 Gal Carboy with spigot - $2,500.00  Number of 2.5 Gal Carboys

Wheel Shield (Alloy Wheel) CS of 6/32 OZ bottles- $787.65  Number of cases
Wheel Shield ( Alloy Wheel)
2.5 Gal Carboy tub with spigot -
 $1,294.00
 Number of tubs

Crystal Shield (Windshield): Case of 12 / 100ml bottles = $450.00  Number of cases
Crystal Shield (Windshield) Case of  6 / 500ml bottles = $810.00  Number of cases

To Pay by Credit or Debit Card

Roadside Shield 

FWG Roadside Shield Registration Form
By Submitting this Registration form Dealership / Shop agrees to pay for the customer certificate on DEMAND!

Dealership Name:
Dealership State:
Dealership Representative:


Customer's Name: First
and Last
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Customer's email  This is who I will send the Roadside Certificate to.
Type of Vehicle: Auto, RV Motorcycle, Truck:
Weight Class:  Series 1 -8
Vehicle Identification Number:  17 digits
Year and Miles :
Agreed Cost:
Term of coverage: 6 or 12 months:

Roadside Pricing:
Car, Truck, On-Road Motorcycle -          RV -         Commercial Truck
       6 Months-      $25.00                  $31.00                    $59.00
      12 Months-     $39.00                  $52.00                    $89.00
     
EnvironmentalSHIELD

Now available for Autos, Trucks, SUVs, Trailers, Motorhomes, Power Sports, and Aviation

OwnerSHIELD

Inexpensive Extended Service Contracts
for Asian and Domestic Vehicles 
Any Age with upto 200,000 miles at time of sale.
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