Dealership Registration

Dealership Details

Company Name ^*

Trading As

Postcode or other part of the address to search on

Flat No

Building Name

Number

Sub-Street

Street

Sub-District

District

Post Code ^*

Town ^*

Website Address ^*

Main Contacts

Title ^*

Forename ^*

Surname ^*

Main Phone Number ^*

Mobile Phone

Fax

Email Address ^*

Username ^*

Password ^*

Confirm Password ^*

Passwords must have 8 characters including 1 capital letter, 1 number and 1 special character e.g. %

Additional Details

VAT Number ^*

Dealership Type ^*

Company Registration Number

ICO Number ^*

Bank Details

Account Name ^*

Account Number ^*

Sort Code ^*

Bank Name

Valid?

Bank Address

FCA Categories

FCA Approved

FCA Number

Direct Lender Relationship

Please tick the box next to each Lender