Administrators Menu Grant Access to the TowMAX Academy Company Name(Required) Enter the company name.Policy Contact Name(Required) First Last Main contact First and Last name.Policy Contact Email(Required) Main contact email address.Policy Contact Phone #(Required)Main contact phone number.Training Coordinator Name (Group Leader)(Required) First Last If the Training Coordinator is the same as the Policy Contact name please enter their name again. If the training coordinator is a different person please enter their info.Training Coordinator (Group Leader) Email(Required) Training Coordinator contact email.Policy Number(Required) Number of Drivers(Required)Set the amount of Drivers the training group will be set up for. State Code(Required)NJOHTNNYWVINSCMDGAPAVASelect the state the insured is located.NotesSubmitted By:(Required) Submitted By Email:(Required) Δ
