Auto Parts Store Application

Apply to Join as a JMeC Parts Partner

Complete this form to join the JMeC Connect auto parts network. After review, your store may receive parts requests and customer leads in your area for counter pickup, local delivery, or shipping.

Auto Parts Store Application

This form collects your store, parts inventory, fulfillment, and compliance details. Verification documents are submitted through the provider portal after review.

Important: Do not upload documents here. Enter license or permit numbers if available. You will receive instructions to submit verification documents (business license, resale permit) through the provider portal after your application is reviewed.

1. Basic Contact

Full Name *

Phone Number *

Email Address *

Business Name (if different from store name)

City *

State *

2. Store Information

Store Name *

Store Street Address *

Store Type *

Years in Business

3. Service Area

Primary / Store ZIP Code *

Service / Delivery Radius Miles *

City / Area You Serve *

ZIP Codes You Serve *

List every ZIP where you will accept pickup or delivery orders. Used for dispatch matching.

4. New Application or Update?

Are you a new applicant or updating existing info? *

Existing Partner / Application ID (if updating)

5. Parts Inventory

Parts Categories You Stock *

Engine Transmission / drivetrain Brakes Suspension / steering Electrical Body / exterior Interior Lighting Filters / fluids Belts / hoses Batteries Tires / wheels Exhaust A/C & heating Performance / aftermarket

Parts Types You Sell *

OEM Aftermarket Used / recycled Remanufactured Performance

Vehicle Makes You Cover *

Domestic Asian / Import European Diesel Hybrid / EV Heavy / Commercial All makes

6. Fulfillment

How do you fulfill orders? *

Local delivery available? *

Do you ship parts? *

Trade / wholesale accounts available? *

7. Compliance & Licensing

Business License Number *

Resale / Sales Tax Permit Number *

Hazmat handling for batteries / fluids? *

Liability insurance (optional for parts)

Insurance Policy Number (if any)

8. Availability

Availability Status *

Time Window Available *

Days Available *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday Weekends only After hours only

Full-time or Part-time? *

After-hours or rush order availability? *

9. Plan Selection

Which plan interests you? *

Plan activation and payment are handled during the provider review process — not through this form.

10. Referral & Bio

How did you hear about JMeC Connect? *

Referred by someone?

Short Bio or Message to JMeC

Website or Social Link

Additional Notes

Agreement Confirmation *

I agree to receive recurring text messages from JMeC Connect at the mobile number I provided above about my provider account, including job offers, dispatch assignments, customer messages, quote requests, and payout notifications. Message frequency varies. Message and data rates may apply. Reply STOP to unsubscribe or HELP for assistance. Consent is optional and is not a condition of becoming or remaining a JMeC Connect provider. See our Privacy Policy and Terms of Service.

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