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Tecumseh and Dealer Portal

Web Site Access Request Form

United States and Canada ONLY

The following information must be submitted through your Tecumseh Power Company, Central Warehouse Distributor. DO NOT send it directly to the factory or it will be returned and delay your access to the website. All information must be completed by your Company's owner and submitted for approval.

Company Name ___________________________________ Mailing Address ___________________________________ City _________________ State ______________________ Phone ________________ Fax ______________________ E-mail Address ___________________________________ Authorized Person (print) ____________________________ Signature ________________________________________

Tecumseh Dealer I.D. Number ________________________ E-mail addresses are for use by Tecumseh Power Company only and will not be sold or shared. Occasionally, Tecumseh would like to communicate important service information or promotions on a timely basis we believe will benefit our dealers. If you do not wish to be contacted with this information, please check this box.

TSN/CWD ONLY Approving TSN/CWD ____________________________ Signature _____________________________________ Upon completion and approval by your Tecumseh Central Warehouse Distributor we will mail your I.D. and password within 4-6 weeks.

Form No. 696580 5/07


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