_OnStar Fleet Master Account Service Subscription Agreement-Decline
Authorized Fleet Signer - Enter your Name as you would to sign Documents. A copy of the fully executed Agreement will be sent to the email address you have provided.
Full Name:
Required
Email Address:
Required
Please enter a valid email address.
Title:
Required
Organization:
Required
Enter your Fleet Company Information below:
Company Name:
Required
Address:
Required
City:
Required
State:
Required
Zip Code:
Required
GM Fleet Account Number (FAN):
Required
Please make a selection:
Accept
Decline
Check Box:
I would like to receive information from OnStar vendors, suppliers and partners for exclusive offers and promotions
Fleet Contact Person Information:
Contact Name:
Required
Contact Email Address:
Required
Phone:
Please enter a valid phone number. Ex: 123-456-7890 ext. 123
Required
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