Hasler®, Inc. - Dealer User Change Form

Dealer Principals: Use this form to modify a Hasler Dealer user account for someone at your dealership.   -OR-   Click here to add a new user

Print this page and fax it to: (203) 301-3912

Please fill-out the user's information, check-off the desired access-levels for that user, and provide authorization information and signature below, before faxing.

EXISTING Username: (ex. jsmith) __________________________________________
go here to create a new user

Dealer Number: ___________________________________________________________

Dealer Name: _____________________________________________________________

---------   INDICATE CHANGES TO USER INFO AND PERMISSIONS BELOW   ---------


Telephone: _______________________________________________________________

User's Email Address: ______________________________________________________

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I the Dealership/Owner verify that the above information is correct and
authorize Hasler®, Inc. to grant access to the user listed above for
the following areas of the Hasler® Dealer Extranet:

(Check all that apply)

__ Technical Support (All-access except for pricing, promos, and admin)

__ Sales (All access except for admin)
 
__ Admin (Access to DealerNet online order management system)


I understand that this user will remain active until I notify Hasler®, Inc.


____________________________________ Owner Signature

____________________________________ Print Name

____________________________________ Date

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(FOR HASLER USE ONLY)

Verified by _____________________

       on   ______/______/_______