Account manager name
Dealer name
Dealer ledger number
Dealer finance contact phone number
Dealer finance contact email address
Dealer location/region
Dealer minimum loan amount
Brand
Asset types - personal loans
Select all that apply
Car or van
Motorbike
Boat
Other personal
Not applicable
Asset types - business loans
Select all that apply
Car & light commercial vehicles
Truck & trailer unit
Tractor & agricultural implements
Earthmoving equipment
Lifting equipment
Forestry & mobile logging machinery
Motorcycles & quadbikes
Other business
Not applicable
Is this dealer to be set up with Dealer Direct?
Yes
No
Does the dealer offer term loans ONLY?
Yes
No