New Account Setup RequestPlease enable JavaScript in your browser to complete this form.Dealership/Finance Company Name: *Account Administrator Name: *FirstLastContact Email Address: *Contact Business Phone Number: *Contact Cell Phone Number: (optional) Preferred Method of Contact:EmailText MessagePhone CallBilling Address: *Suite/Apt: (if applicable)City: *Province: *AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal Code: *Billing Contact Email Address: (optional)separate multiple emails with commasAccount Type: *In-house Finance Payment AssuranceInTouchFleet TelematicsPowersportsNational Finance CompanyRegional Finance CompanyProduct Usage:Encore GPSTrax GPSSelect GPSElite Pro Platinum GPSFleet TelematicsWho is your Sales Representative? *NoneBryce WasserslebenKevin BayneRichard WereschukSophie CallanderComment or MessageYes, I would like to receive information and offers from PassTime.We will handle your contact details in line with our Privacy Policy. If you prefer not to receive marketing emails from PassTime, you can unsubscribe at any time.Submit