AppOne - New Dealer Signup Form

Instructions:

Fields with a * indicate required fields. Please complete all the required fields and click on the Proceed button.
If you need technical assistance or support with this form, please email us at support@appone.net or call us at 1-877-404-6788.

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Dealership Information

Store Name *

Legal Business Name *

Organization Type *

Federal TaxID *

State TaxID

Dealer License # *

Dealer License State *

Years in Business *

Address1 *

Address2

ZIP Code *

City *

County *

State *

Phone1 *

Phone2

Fax1 *

Fax2

Primary Collateral Sold *

Internet Access

Dealer Management System

Website

How did you hear about us? *

User Information

First Name *

Last Name *

Email Address *

Title *

Mobile Phone *

Desired Username *

Security Question *

Security Answer *

I hereby certify that I am the Owner Principal OR General Manager of this dealership and have the necessary authority and approval to enter this dealership into legally binding Agreements with AppOne, Inc. I further certify that I have read and accept the terms and conditions of the agreement above on behalf of my dealership.