Nissan of North America, Inc.
Application for NNA Fleet Certification Number

  • Applicant agrees to register the vehicle(s) in the name of the company and keep Nissan vehicles in fleet service a minimum of six months.
  • Applicant has five or more vehicles registered in the name of the company.
Business Information
I affirm and attest that the information to be provided for this NNA Fleet Certification application is true and complete to the best of my knowledge.
Company Type: I am a Commercial Business
I am a Fleet Management Company
I am a Dealer/Retailer (Please Enter Dealer/Retailer Number Below
Dealer/Retailer Number (Required if you are a Dealer/Retailer):
Select Type of Fleet Business: Business Fleet, Commercial
Government Agency
Daily Rental Company
Franchisee
Lease Management Company
Dealer - Parts and Shuttle Van
Name of Company:
Authorized Company Contact (First Name):
Authorized Company Contact (Last Name):
Contact Title:
Select Type of Entity: Individual/Sole ProprietorS Corp
Trust/Estate
Other/Nonprofit
C Corp
Partnership
LLC
Government
Federal Tax ID# (TIN Required - Government Exempt):
Email Address:
Telephone:
Street Address:
City:
State:
Zip Code:
Comments: