BMW Group Corporate Fleet All Employee Form/Central Region

Thank you for your interest in the BMW Group Corporate Fleet Program. To initiate the enrollment process we require the information in the form below. Once you submit the completed form, your application will be reviewed, and if approved, BMW will forward via email an electronic enrollment document. Upon the completion of the executed enrollment document, a BMW Corporate Fleet account number will be issued.

The BMW/MINI program is offered to all US based employees to include your US based subsidiary employees.

Company Information

Legal Company Name*

U.S. Headquarter Address*

Street Address

Street Address Line 2

CityState

Zip Code

Company Website*

Number of US Based Employees*

Signatory Contact Information

Please provide the following information about the individual who will sign the electronic enrollment document.

Signatory Name*

Signatory Title*

Signatory Phone Number*

Signatory Email*

Administrator Contact Information

Please provide the following information about the individual at your company who will work with BMW on the administration of the program. This includes activities such as communication of the program, pricing, changes, program updates, etc.

Admin Name*

PrefixFirst NameLast Name

Admin Title*

Admin Phone Number*

Admin Email*

How did you learn about the BMW Corporate Fleet Program?

For questions, please contact:BMWGroupFleet@bmwna.com or 855-217-9819.

Lead Source

Account Type

#Prefix