Preregistration | Automotive Rx

Vehicle Year

Vehicle Make

Vehicle Model

Vehicle Use (Select all that may apply)

Rideshare (Uber, Lyft, taxi, etc.)

Food Delivery (Doordash, Grubhub, Instacart, Restaurant Delivery, etc.)

Package Delivery (Amazon, UPS, USPS, etc.)

Daily Job Commute

Other

First name

Last name

Phone

Email

Address

Total Number of Vehicles to Register

1

2

3

4 or more

Does your vehicle(s) currently need repairs?

Yes

No

Not Sure

If you've had a recent claim denied, please specify in one of the following choices:

Auto Warranty

Auto Insurance

Both

Neither

When ARX launches, which plan would you need?

Plus: Pro: $75/month (up to $1,200/yr in coverage)

Pro: $150/month (up to $2,300/yr in coverage)

Premier: $300/month (up to $4,500/yr in coverage)

Preregister for the world's first Vehicle Healthcare company.