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Lightning Capital Application

Business Structure Type?

Operating as a DBA

Yes No

What is the name of the parent company?

Is the SSN above the same as the Shop Tax ID?

Yes No

Lightning Capital Application

Check the services your shop offers.

Windshield Repair Windshield Replacement In Shop Service Recalibrations

Primary Service Locations

Mobile Service Range

Lightning Capital Application

Are You Registered with Safelite?

Yes No

*If you do not know your Safelite Username and Password that’s okay! Just leave the fields blank and continue onward with the application.

Are you an Affiliate (Preferred) Safelite shop?

Yes No

Do you have Safelite EDI capabilities?

Yes No

Does your shop bypass the networks and bill insurance companies directly?

Yes No

Lightning Capital Application

Are You Registered with Lynx?

Yes No

Please fill out your Linx login information to the right if you happen to know it.

If not, leave the fields blank and simply continue by submitting the application.

Schedule Your Free Demo

First Name

Last Name

Phone

Company

New or Existing Shop?

Demo Date

Preferred Start Time

Time Zone

How Did You Find Us?

Help Adding Your Shop To The Networks