Dealer Opportunity

Become A Dealer

Primary Contact

Mobile

Company Name

Trading Name (if different)

Address Line 1

Address Line 2

Suburb

Postcode

State

Web Site Address

Which type of dealership you are applying for Full Line (sales, parts, service – trucks and commercial vehicles) Parts & Service (trucks and commercial vehicles) Daily Dealer (sales, parts, service Light Duty range only) Daily Parts & Service (Light Duty range only)

Do you have other trucks or commercial vehicles franchisees at the above address? Yes No

If Yes Specify

Is the proposed location the same as the above address? Yes No

If No Specify

Please summarise details of your business proposal