Myvipauctions.com
[pic] 4600 Browns Bridge Rd
Cumming, GA 30041
Suite B
Office 678-889-7776
Fax 470-407-6995
info@
REGISTRATION FORM
What We Need From You
___ Used Car License ___Tax Exempt Certificate ___Surety Bond ___ Driver’s License ___Company Check (if paying by check) ____Master Tag
Dealership Information
Used Motor Vehicle Dealer #_________________ Taxable __N __Y Sales Tax # _____________
Name of Dealership ___________________________________________________________
Phone Number at Dealership___________________________Fax __________________________
Dealership Address ___________________________________________________________________________
City ___________________________________________ State ________________ ZIP ____________________
Email Address ________________________________________________________________________________
Owner Information
Owner Name (FIRST) __________________________ (LAST) __________________________
Owners Home Address _________________________________________________________________________
City ___________________________________________ State ________________ ZIP ____________________
Home Phone ____________________________________ Cell__________________________________________
Email Address ________________________________________________________________________________
Owners DL # ___________________________ STATE________
Additional Owners Name (FIRST) ______________________ (LAST) ________________________
Additional Owners Home Address ________________________________________________________________
City ____________________________________________ State ________________ ZIP ____________________
Home Phone ____________________________________ Cell__________________________________________
Email Address ________________________________________________________________________________
Owners DL # ___________________________ STATE________
Payment Information PAYMENT MUST BE RENDERED THE DAY OF SALE OR ADDITIONAL FEES APPLY.
Payment by: ____Cash ____Company Check (Must complete the “Banking Information” form) ____Floorplan (ADF, AFC, CARBUCKS, NEXTGEAR, Westlake, AC,and FPX accepted) fee applies)
Authorized Representative Signature
Licensed Owner(s) ________________________________________________________ Date ____/____/____
VIP Auction Representative _____________________________________________ ___Date ____/____/____
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
Related searches
- getroman com reviews
- acurafinancialservices.com account management
- acurafinancialservices.com account ma
- getroman.com tv
- http cashier.95516.com bing
- http cashier.95516.com bingprivacy notice.pdf
- connected mcgraw hill com lausd
- education.com games play
- rushmorelm.com one time payment
- autotrader.com used cars
- b com 2nd year syllabus
- gmail.com sign in