On-Line Dealer Application

Our Dealer Information Form has two parts for New and Established Dealers.

NEW DEALERS, filling out this form who have a trade history under 1 year with no current finance provider  will need to fill out both sections of the form.

ESTABLISHED DEALERS, that have a trade history over 1 year and or have a current finance provider are only required to fill out the top form.

Dealer Type

Your Premises

Other

Business Details

Trading Name

Physical Address

Postal Address

Company Number

Website Address

Staff Details

Staff Name

Staff Name

Staff Name

Dealer Type

Other

NEW and ESTABLISHED DEALERS

Your Market

Other

Trading for (in Years)

(Required Field)

Suburb

Suburb

Work Phone No

City

City

Work Fax No

Main E-mail Address

Staff Mobile

Staff Mobile

Staff Mobile

Staff E-mail

Staff E-mail

Staff E-mail

Trade References

Trade References are the wholesale companies from which you purchase your stock.

Company Name

Company Name

Research

Contact Name

Contact Name

Phone No

Phone No

How did you hear about Credit Capable?

Have you previously or are you using other finance companies?

If so which companies?

Dealer Resources to be included in your Dealer Starter Pack.

Front End Images

For ESTABLISHED DEALERS ONLY, Click SUBMIT
to set-up up your business to offer our financial services.

For NEW DEALERS DON’T click on SUBMIT ABOVE.
You will need to complete the following form and click on it’s SUBMIT button.

Personal Details (Director/ Proprietor)

Full Name

Home Phone N.o

Home Address

Previous Address

Home Mobile N.o

Suburb

Suburb

Date of Birth

Home Email

City

City

NEW DEALERS

Credit Reporting Privacy Code 2004

I hereby authorise any person or company to provide you or Credit Capable Limited with such information as you may require in response to your enquiries associated with this application. I also further authorise you to furnish to any third party or parties details of this application and any subsequent dealings that I may have with you as a result of this application being actioned by you. I hereby declare that the information provided is true and correct and that I am not an undischarged bankrupt. I agree that the financier may nominate the insurer at its discretion. I understand that Credit Capable Ltd have asked me for personal information about me so as to use Veda Advantage's credit reporting service to credit check me. I understand that:

Veda Advantage will give you information about me for that purpose. You will give my personal information to Veda Advantage, and that Veda Advantage will hold that information on their systems and use it to provide their credit reporting service. When other Veda Advantage customers use the Veda Advantage credit reporting service, Veda Advantage may give the information to those customers. If I default in my payment obligations to you, information about that default may be given to Veda Advantage, and Veda Advantage may give information about my default to other Veda Advantage customers.

Accepted

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