Create a new Safelite Direct commercial account

Fill in the required information below to create a new account.

*Required Information

User Information

Contact name*

Email address*

Phone number*

Company information

Company name*

Street address*

City*

State*

ZIP code*

Phone number*

Number of vehicles in your fleet

Do you want to pay by credit or cash on delivery (COD)?*

Credit COD

Billing email address*

Same as user email address

Is your account tax exempt?*

If yes, please upload a PDF certification under 8MB. If you don’t have the
certificate on hand please select no and you can send it by email to
SafeliteTax@safelite.com.

Yes No

Create a new Safelite Direct commercial account

Company information

Important safety notice