Europe_AutoStandards_request_12_16_2015_(1).docx

U.S. General Services Administration

2016 GSA Fleet Vehicles for Use in Europe GSA Solicitation QMAA-JC-160001-D Request for Auto Standards Account

Company Information Please complete the following fields required to create an Auto Standards account for this announcement:

Company Name

Address

Address (if necessary)

Address (City/State/Zip)

Valid DUNS number

Business Size (Large/Small)

User #1 Request Name

Telephone Number

Fax Number

Email

User #2 Request (if applicable) Name

Telephone Number

Fax Number

Email

User #3 Request (if applicable) Name

Telephone Number

Fax Number

Email

User #4 Request (if applicable) Name

Telephone Number

Fax Number

Email

Requested Vehicle Makes Please review the “Anticipated Items” noted below, and check the appropriate box(es) below to identify the vehicle makes requested for Auto Standards account access:

☐ Alfa Romeo

☐ AUDI

☐ BMW

☐ Chevrolet ☐ Dacia

☐ FIAT

☐ FIAT Professional ☐ Ford ☐ General Motors

☐ GMC

☐ Honda ☐ Hyundai

☐ IVECO

☐ IVECO Bus ☐ Jeep ☐ Kia ☐ Lancia

☐ MAN

☐ Mercedes ☐ Nissan ☐ Opel ☐ Renault ☐ Suzuki ☐ Toyota ☐ Vauxhall ☐ Volkswagen ☐ Volvo ☐ Other -

To electronically check a box, double-click on the selected box. When prompted, change the value from “Not Checked” to “Checked” and select OK. Screenshot below:

Submission Please submit electronically completed form to the following address:

automotiveedi.partnerships@gsa.gov 1800 F Street NW Washington, DC 20405 www.gsa.gov image1.png image2.png