Available on the MHA & Navigator Contracts

To Enroll, please complete the information requested below and register by submitting the form. Once the completed registration is received, you will receive an email from our team with a Participation Agreement & Participant Customization Form via Docusign. After EHI receives the fully executed documents back, you will be contacted via phone by an Implementation Specialist to confirm selections to your custom program, communicate the effective date and review implementation.


Please enter numerical total of locations.

Contact Information

Company Address

Anticipated Annual Spend on Rentals:

The anticipated spend should be based on the previous 12 months, Time & Miles spend (daily rate x rental days). If your reporting pulls the “total expense” spend with taxes and ancillary products, please report that number less 30%.

Please clear the Captcha first