New Dealer Application (page 2 of 2)

You must complete all fields for your application to proceed.

PERSONAL DETAILS
Contact Name	*
Telephone Number	*
COMPANY DETAILS
Company Name	*
Company Address	*
Post Code	*
Company Telephone Number	*
Email Address	*
Website Address	*
Company Fax Number	*
Registration Number	*
Vat Number	*
Consumer Credit Licence No.	*
Date Established	*
Franchise(s) Held
Are You Currently An RMI Member
Your RMI Number
OPERATING DETAILS
Number Of Sites Operating	*
Who Is Your Warranty Provider	*
Do You Have Service Facilities?
Do You Have An MOT Test Centre?
Stock Number Of Cars	0-3 Years Old 4-6 Years Old 7-10 Years Old
DIRECTORS DETAILS Please fill in details for all of the directors/owners/partners including home addresses and date of birth.
Directors Details	You can drag this box from the bottom to make it bigger if you need more room*
I confirm permission for you to execute a Credit Search on each of the Directors named above. YES
I confirm the information above is complete and accurate YES