Independent Repair Facility Application Form

Welcome to the Ford Professional Service Network! Please contact your Ford Dealership for your Sponsor Code. To complete your registration and apply to the Ford Professional Service Network, please fill out the registration form and click "Submit" below.

Fields with an * are required.

Profile Information

* First Name

* Last Name

* Position

* Business Name

* Business Phone

Mobile Phone

* Primary Email (Username/ Login)

* Confirm Primary Email (Username/ Login)

* Password

* Confirm Password

NOTE: Passwords require a minimum of 8 characters, one capital letter, one number, and one special character.

Primary Location

* Address

* City

* Province

* Postal Code

Sales Tax Registration Number*

Please enter your sales tax registration in the field appropriate for your province. Only one sales tax number is required.

Goods and services tax / Harmonized sales tax registration number

Quebec sales tax registration
number

NOTE: The GST # is 15 digits long. Positions 1-9 are numeric and identify the business. Positions 10-11 are this code: RT (GST/HST). Positions 12-16 are the reference number. EXAMPLE: 123456789RT0001.

NOTE: The QST registration number to be validated has 16 characters: 10 digits, followed by the letters TQ and four more digits. EXAMPLE 9999999999TQ0001.

Order/Invoice Detail 1

Please enter at least one of your Ford dealer invoices below. This will allow Ford to locate your business within our records and approve your registration. This will also grant access to this site which will provide all your transaction history with Ford dealers and provide you with an array of valuable tools, information, and incentives to support your business. Providing accurate invoice information that is at least 5 days old will expedite your approval.

* Date

* Invoice Number

Order/ Invoice Detail 2

Date

Invoice Number

Sponsoring Dealer Details

*Dealer Sponsor Code

Please contact your Ford Dealership for your Sponsor Code

Please enter the 7 digit Sponsor Code provided by your Sponsoring Dealer

Language Preference

* Please provide your language preference for PSN communications.
English
French

Business Details

* How many ACTIVE service bays does your business operate?

* How many full-time equivalent technicians does your business employ? (2 half-time = 1 full-time)

* Do you make parts purchase decisions at your business?

* What are your average MONTHLY overall parts purchases?

* Please select which best describes your business, (select all that apply).
Quick Service
Brakes Specialist
Tire Specialist
Full Service/General Repair
Engine/Transmission Repair

Submission of this form acknowledges that all information provided is valid based on present knowledge and is subject to Ford approval.

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