Application
If you would like to learn more about becoming a Road America service provider network, please contact our Provider Relations team at Ph: (888) 293-6672 (Hours of Operation: 9:00am to 5:00pm (EST)) , or via e-mail at specialtyvehicleteam@road-america.com
You may also download our Service Provider Application (PDF) by clicking here.
Please return completed application to specialtyvehicleteam@road-america.com or fax to 866-456-0978
* To view application online in PDF format, you need Adobe Acrobat Reader® Software version 6.0 or higher. If you don't have Adobe Acrobat Reader® installed on your computer, you can download it now for free
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