Goodyear Tire Account Enrollment Application
This document is the enrollment application for the Goodyear Tire and Rubber Company's National Account Program. It contains essential details required for membership, including necessary documentation and contact information. Completing this form allows businesses to benefit from Goodyear's tire services and purchasing options.
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How do I fill this out?
To fill out this application, first gather all required information including your Member ID, billing details, and purchase history. Next, ensure you have any necessary exemption certificates if applicable. Finally, print, sign, and submit the application to Goodyear's specified contacts.

How to fill out the Goodyear Tire Account Enrollment Application?
1
Gather all required information including member ID and billing address.
2
Attach any necessary documents, such as exemption certificates.
3
Complete the application with accurate details.
4
Sign the document as required.
5
Submit the application to the provided contacts.
Who needs the Goodyear Tire Account Enrollment Application?
1
Businesses looking to purchase tires for their fleet operations.
2
Fleet managers who oversee the procurement of vehicle maintenance services.
3
Accounting departments requiring accurate billing information for tire purchases.
4
Companies needing to establish a formal account with Goodyear for promotional offers.
5
Tax-exempt entities needing to document their exemption status for tire purchases.
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What are the instructions for submitting this form?
To submit this enrollment application, please scan and email it along with any attached documents to the email addresses listed in the form. You may also fax your completed application to the provided fax number. Ensure that all sections are accurately filled to avoid processing delays.
What are the important dates for this form in 2024 and 2025?
The Goodyear Tire Enrollment Application does not have specific application deadlines, but timely submission is encouraged to ensure a seamless account setup. Businesses are recommended to apply quarterly to benefit from updates in services and products.

What is the purpose of this form?
The purpose of this form is to facilitate the enrollment process for businesses interested in the Goodyear National Account Program. By completing this application, organizations can establish formal purchasing arrangements with Goodyear, enabling easier access to tire products and services. The enrollment application also assists Goodyear in streamlining billing and service delivery for its customers.

Tell me about this form and its components and fields line-by-line.

- 1. Member ID Number: Unique identifier for each member of the program.
- 2. Legal Billing Name: Official name of the business or entity.
- 3. Billing & Physical Address: Addresses used for billing purposes.
- 4. City, State & Zip Code: Location details corresponding to the addresses.
- 5. Phone: Contact number for the account.
- 6. Fax: Fax number for correspondence.
- 7. Annual Tire & Service Purchases: Estimate of yearly spending on tire and services.
- 8. Email Address: Email for correspondence related to the account.
- 9. Signature & Title: Authorized signature and title of the person signing the document.
What happens if I fail to submit this form?
Failure to submit the form may result in delays in accessing Goodyear's products and services. Additionally, without proper documentation, your account status may remain inactive until resolved.
- Delayed Services: Without the application, businesses may not benefit from Goodyear's tire services.
- Increased Costs: Failing to enroll can lead to missed savings and higher costs for tire purchases.
- Uncertain Billing: Without clear information, billing processes may become complicated.
How do I know when to use this form?

- 1. Fleet Purchases: For companies managing a fleet of vehicles requiring tires and maintenance.
- 2. Tax-Exempt Purchases: To document exemption status for sales tax purposes.
- 3. Formal Account Setup: Essential for organizations establishing a relationship with Goodyear.
Frequently Asked Questions
How can I fill out the enrollment application?
You can fill out the application by gathering all required information and following the provided instructions. Adjust any editable fields in PrintFriendly before submitting.
What if I need a tax exemption?
Ensure to attach your tax exemption certificate with the application to benefit from tax-exempt purchases.
How do I submit the completed application?
You can submit the application via email to the designated contacts provided in the document.
Can I edit the PDF before sending it?
Yes, use PrintFriendly to make necessary edits prior to submission.
What if I make a mistake on the form?
Simply return to PrintFriendly, edit the section, and download a new copy.
Is there a fee to use this application?
No, there is no fee for filling out and submitting this enrollment application.
What products does this application cover?
This application covers tire purchases and related mechanical services from Goodyear.
Will I receive confirmation after submission?
You should receive confirmation from Goodyear once your application is reviewed.
Can I save the PDF after editing?
You can download the edited PDF, but please note that saving directly on the site is not currently available.
Who do I contact for further assistance?
Contact the National Fleet Manager listed in the PDF for any questions or assistance.
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