NEW LITHIA LOCATION

SUBMITTER INFORMATION

Full Name *

Email Address *

LOCATION DETAILS

L# *

2-3-3 ID *

Dealership Name *

Shipping Address must be a physical address. PO Boxes will not be accepted due to shipping requirements.

Street Address *

Address Line 2

City *

State *

Zip Code *

Billing Address *

Default Bill To ID: Default // Bill To Name: Lithia Motors
Address: 150 N Bartlett St, Medford, OR 97501

The Ship To address entered above will also
be added as a Bill To address for this location.

Billing Street Address *

Billing Address Line 2

Billing City *

Billing State *

Billing Zip Code *

If the new location has a second shipping address (e.g. Service Center has a separate address), select yes below to add it.

Additional Ship To? *

Address Name *

Ship To 2 Street Address *

Ship To 2 Address Line 2

Ship To 2 City *

Ship To 2 State *

Ship To 2 Zip Code *

Approver Name *

Approver Email *

Second Approver? *

Second Approver Name *

Second Approver Email *

All submissions will be treated as an urgent request and completed as quickly as possible.

Please ensure the Approver has already logged in via SSO prior to submission.