Biocom California

Title	Biocom California
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To participate in Biocom California's negotiated car program, please complete the information requested below and register by submitting the form.

Once the registration is received, someone from Enterprise and National will contact you shortly to discuss additional benefits and next steps.

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Company Name*

Total Number of Employees:*

Contact Name*

Contact Title*

Phone Number*

Email Address*

Country of Residence

Street Address 1*

Street Address 2

City*

State*

ZIP Code*

Have an existing Account Number (Contract ID)?

Enterprise Account Number:

National Account Number:

Please select the option that best applies to you:*

Anticipated Annual Spend on Rentals:

The anticipated spend should be based on the previous 12 months, Time & Miles spend (daily rate x rental days). If your reporting pulls the “total expense” spend with taxes and ancillary products, please report that number less 30%.

Rental Car*

Commercial Truck Rentals (if applicable):

Annual Number of Rental Days:*

Annual Number of Rental Transactions:*

Number of Travelers:*

#1 Rental Location (as measured by percent of total rental days):

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