Motor Vehicle Inspection Supply Order Form

PLEASE NOTE:

If you have a credit on your account it cannot be used online. Contact 506-453-2410 or email [email protected] for information on how to use this credit.

Please note your order must be a minimum of $400. Please allow 5 days for processing.

FAQ

Required fields are indicated with an " * " and bordered in red.

GENERAL ACCOUNT INFORMATION

*	Inspection Station Number
*	Business Name
*	Legal / Owner's Name
*	Phone Number

INSPECTION REPORTS

We do not accept decimals for the Quantity of Booklets.

Item	Type	Quantity per booklet	Price
Light Vehicle	LV	50	Free
Bus, School Bus or Contracted Conveyance	BR	25	Free
Truck or Truck-tractor	TT	50	Free
Trailer or Semi-Trailer	ST	50	Free

INSPECTION STICKERS

We do not accept decimals for the Quantity of Booklets.

Item	Type	Quantity per booklet	Price
Rejected Vehicle	RV	10	Free
Inspected Vehicle 1 Year	AV 1 year	10	$100.00
Inspected Vehicle 2 year	AV 2 year	10	$100.00
Inspected Vehicle 3 year	AV 3 year	10	$100.00
Inspected Trailer	AT	10	$100.00
Semi-Annually	SV	10	$100.00
Annually Truck or Truck-Tractor	HV	10	$100.00
Total Cost			$

ELECTRONIC SIGNATURE

TYPING IN MY NAME AND ELECTRONICALLY SENDING THIS FORM TO SERVICE NEW BRUNSWICK CONSTITUTES MY ELECTRONIC SIGNATURE

* Signature		* Date (yyyy/mm/dd)