THESIS LBP Program: For Business Owners & Managers
Welcome, and thank you for your interest in joining the THESIS LBP Program. Please help us get to know you by filling out this form.

Please note: This form should be filled out by business owners/managers. Please also nominate a mechanic and/or fitter on your team to become THESIS Qualified to conduct service and have them fill out this form: We will need both forms to be filled out to process your application.

We look forward to working with you to grow your business!

Questions? Please email

Full Name *
Your answer
Work Email *
Your answer
Phone Number *
Your answer
Name of Business *
Your answer
City, State *
Note: At this time, we are only able to work with businesses in the US.
Your answer
I am a... (check all that apply) *
Please note that you must be the owner or manager of the business to fill out this form.
My business operates out of... (check all that apply) *
I have liability insurance that covers my work. *
Please note that you must have liability insurance to be in the program.
My business has the appropriate licenses and permits required to operate in my jurisdiction. *
Please note that you must have the appropriate licenses and permits to operate in your jurisdiction to be in the program.
Business website:
Your answer
Business social media links (Instagram, Facebook, Twitter...):
Your answer
Why are you interested in joining the program?
Your answer
Does your business own all required tools and supplies listed below? If not, please explain. (Note: Does not apply to fit-only businesses) *
A full list of required tools and supplies:
Your answer
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