Grant Assistance Form for Clean Environmentally Friendly Trucks. We can help you secure government funding to replace your aging truck fleet in California.

The Alternative Fuel & Vehicle Emission experts in the truck and bus industry, CA.
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Grant Assistance Form
In order to help you secure grant funding we will need the following information from you...
please fill it out below and our Fleet specialists will be in touch within 24 hours.

EMISSION SPECIALISTS
- Charlie Cox
- Bob Towle

Company Information

Contact Person
Title
Company
Street Address
City
State/Province		Zip Code
Other locations
Office Phone
Cell Phone		Fax
E-Mail

Truck Information

Got a fleet larger than 10? We'll come meet you to help you out! Just call us 800.366.4621. Note... information is needed for EACH truck in your fleet. Please list your vehicle information below:
#	Year	Make	Model	Truck Serial#
1
	Engine Yr	Engine Manufacturer	Engine Serial #	Engine Family#

	Type of registration in California		Vehicle Miles Travelled in CA	VMT in South Coast Basin

	GVWR		Type of Application

#	Year	Make	Model	Truck Serial#
2
	Engine Yr	Engine Manufacturer	Engine Serial #	Engine Family#

	Type of registration in California		Vehicle Miles Travelled in CA	VMT in South Coast Basin

	GVWR		Type of Application

#	Year	Make	Model	Truck Serial#
3
	Engine Yr	Engine Manufacturer	Engine Serial #	Engine Family#

	Type of registration in California		Vehicle Miles Travelled in CA	VMT in South Coast Basin

	GVWR		Type of Application

#	Year	Make	Model	Truck Serial#
4
	Engine Yr	Engine Manufacturer	Engine Serial #	Engine Family#

	Type of registration in California		Vehicle Miles Travelled in CA	VMT in South Coast Basin

	GVWR		Type of Application

#	Year	Make	Model	Truck Serial#
5
	Engine Yr	Engine Manufacturer	Engine Serial #	Engine Family#

	Type of registration in California		Vehicle Miles Travelled in CA	VMT in South Coast Basin

	GVWR		Type of Application

#	Year	Make	Model	Truck Serial#
6
	Engine Yr	Engine Manufacturer	Engine Serial #	Engine Family#

	Type of registration in California		Vehicle Miles Travelled in CA	VMT in South Coast Basin

	GVWR		Type of Application

#	Year	Make	Model	Truck Serial#
7
	Engine Yr	Engine Manufacturer	Engine Serial #	Engine Family#

	Type of registration in California		Vehicle Miles Travelled in CA	VMT in South Coast Basin

	GVWR		Type of Application

#	Year	Make	Model	Truck Serial#
8
	Engine Yr	Engine Manufacturer	Engine Serial #	Engine Family#

	Type of registration in California		Vehicle Miles Travelled in CA	VMT in South Coast Basin

	GVWR		Type of Application

#	Year	Make	Model	Truck Serial#
9
	Engine Yr	Engine Manufacturer	Engine Serial #	Engine Family#

	Type of registration in California		Vehicle Miles Travelled in CA	VMT in South Coast Basin

	GVWR		Type of Application

#	Year	Make	Model	Truck Serial#
10
	Engine Yr	Engine Manufacturer	Engine Serial #	Engine Family#

	Type of registration in California		Vehicle Miles Travelled in CA	VMT in South Coast Basin

	GVWR		Type of Application


	Any questions? Our Specialists are ready to help you Mark Sturdevant - msturdevant@VelocityVehicleGroup.com Toll Free : (888) 578-2430 Charlie Cox - ccox@VelocityVehicleGroup.com Bob Towle - btowle@VelocityVehicleGroup.com

Ports of Los Angeles & Long Beach Clean Truck Program

We are an authorized dealer for the Ports Clean Truck Program - click logos for more info.