Dealer Registration

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Please fill in all of the blanks and press the submit button.  You will receive an email back with your dealer number once approved.  This does not complete the registration process.  You must bring a copy of your current dealers license, drivers license and any state required documents to the auction on your first visit.  You will also be required to sign our dealer agreement before doing business at the auction.

 

Owner/Officer Information
Name
Title
Social Security#
Date of Birth
Street Address
Address
City
State/Province
Zip/Postal Code
Phone
Cell
Residential Phone
Fax
Email

 

Bank Information

Account Name
Account Number
Bank Name
Bank Address
Bank Phone Number

 

References

Auction or Business Name
Contact Name
Phone Number

 

Auction or Business Name
Contact Name
Phone Number

 

Dealership Information
Dealership Name
Years in Business
Business Type (Corp, LLc, Partnership, Sole Prop.)
New or Used
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

 

  Mailing Address if different than physical location
Street Address/P.O. Box
Address (cont.)
City
State/Province
Zip/Postal Code

 

Buyer 1 Representative Information
Name
Social Security#
Date of Birth
Street Address
Address
City
State/Province
Zip/Postal Code
Phone
Cell

 

Buyer 2 Representative Information
Name
Social Security#
Date of Birth
Street Address
Address
City
State/Province
Zip/Postal Code
Phone
Cell

 

Buyer 3 Representative Information
Name
Social Security#
Date of Birth
Street Address
Address
City
State/Province
Zip/Postal Code
Phone
Cell

 

By inserting "Yes" in the form below and pressing the  "Submit" button I acknowledge that I have read and agree to all policies and regulations of Premier Auction Group. Click here to read the General Policies and Arbitration Rules.  I also authorize the Premier Auction Group to review my credit history and verify all bank information.  This does not complete the registration process.  You must bring a copy of your current dealers license, drivers license and any state required documents to the auction on your first visit.  You will also be required to sign our dealer agreement before doing business at the auction.

Acceptance box

Name of person accepting

Title                                 

 

Premier Auction Group
Revised: December 22, 2007