Roadside Service Registration Form

To become a RoadSquad Connect Provider, please complete the Enrollment Form. It is important to provide as much information as possible on hours, rates, services offered and brands carried. This will allow us to match the best Connect Provider to the breakdown and ensure you receive every business opportunity available.

Company Information

RoadSquad Connect Provider Enrollment Form

Company Contacts

Contact one

Company contact one

Contact Two

Company contact two

Contact Three

Company contact three