IDS Automotive New Car Dealership Information Form

*required field

General Information

Dealership Name*

Makes Sold*

Part of Auto Group?*

Yes

No

Dealership Personnel

Primary Contact*

Title*

Telephone*

Email*

Authorized Purchaser(s)*

Name 1*

Title*

Telephone*

Email*

Name 2*

Title*

Telephone*

Email*

Accounts Payable*

Title*

Telephone*

Email*

General Manager*

Telephone*

Email*

Billing Address

Street Address*

City*

State*

ZIP Code*

Shipping Address is the same as Billing Address

Shipping Address is the same as Billing Address

Shipping Address

Street Address

City

State

ZIP Code

Name

This field is for validation purposes and should be left unchanged.