Dealer Registration

Information
Information
To become a member you may either fill out and drop off or fax this printable form to (705) 436-1560 or you may apply on-line using the form provided below:
Business Information
*Legal Name
*Operating As
*Dealer Type
Franchise Number
*Address Line 1
Address Line 2
*City
*Province/State
*Postal Code
*Country
*Phone 1
Phone 2
Fax
*E-Mail
Website
*HST #
*RIN #
Average # of Used Car Inventory
Make/Model/Years Preferred to Purchase
*Dealer License #
*Expires
*Insurance Company
*Policy Number
*Expires
Owner's Contact Information
*Name
*Address
*City
*Province/State
*Postal Code
*Country
*Home Phone
Bank Reference 1
*Name
*Contact
*Address
*City
*Province/State
*Postal Code
*Country
*Phone
*Account #
*Years dealing with bank personally
*Years dealing with bank professionally
Bank Reference 2
If you have dealt with your current bank for less than 2 years please provide your previous bank's details here:
Name
Contact
Address
City
Province/State
Postal Code
Country
Phone
Account #
Industry Reference 1
*Name of Business
*Type of Business
*Contact
*Address
*City
*Province/State
*Postal Code
*Country
*Phone
Industry Reference 2
*Name of Business
*Type of Business
*Contact
*Address
*City
*Province/State
*Postal Code
*Country
*Phone
Information
Information
Please use these forms to register up to six employees whom will be bidding on your behalf, including yourself. Leave the unused slots blank.
*Authorized Sales Representative 1
*Username
*Password
*Confirm Password
*E-Mail
*Full Name
*Phone 1
Phone 2
Fax
*Address Line 1
Address Line 2
*City
*Province/State
*Postal Code
*Country
*Drivers License #
*Expires
*Salesperson License #
*Expires
Authorized Sales Representative 2
*Username
*Password
*Confirm Password
*E-Mail
*Full Name
*Phone 1
Phone 2
Fax
*Address Line 1
Address Line 2
*City
*Province/State
*Postal Code
*Country
*Drivers License #
*Expires
*Salesperson License #
*Expires
Authorized Sales Representative 3
*Username
*Password
*Confirm Password
*E-Mail
*Full Name
*Phone 1
Phone 2
Fax
*Address Line 1
Address Line 2
*City
*Province/State
*Postal Code
*Country
*Drivers License #
*Expires
*Salesperson License #
*Expires
Authorized Sales Representative 4
*Username
*Password
*Confirm Password
*E-Mail
*Full Name
*Phone 1
Phone 2
Fax
*Address Line 1
Address Line 2
*City
*Province/State
*Postal Code
*Country
*Drivers License #
*Expires
*Salesperson License #
*Expires
Authorized Sales Representative 5
*Username
*Password
*Confirm Password
*E-Mail
*Full Name
*Phone 1
Phone 2
Fax
*Address Line 1
Address Line 2
*City
*Province/State
*Postal Code
*Country
*Drivers License #
*Expires
*Salesperson License #
*Expires
Authorized Sales Representative 6
*Username
*Password
*Confirm Password
*E-Mail
*Full Name
*Phone 1
Phone 2
Fax
*Address Line 1
Address Line 2
*City
*Province/State
*Postal Code
*Country
*Drivers License #
*Expires
*Salesperson License #
*Expires
Note
(* indicates a required field)
Security
Security Image
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