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Membership Application

Please complete the membership application form below.

Membership fees are non-refundable. Our staff will contact you with in 24-48 hours with your dealer access ID number and next steps.

Your Information

Your Information

All required fields must be complete before submitting.

Name *

First

Last

Address Field *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Country *

Phone *

Email Address *

DOB *

SSN *

DL# *

State *

Expire *

Upload Driver's License Image *

Upload Image

Have you ever been convicted of felony? *

Yes No

If yes, explain

Have you had a DUI/DWI in the past 3 years? *

Yes No

Have you had an auto accident in the past 3 years? *

Yes No

Experience & Education

EXPERIENCE

Do you have previous experience with auto sales? *

Yes No

If yes, how many years.

Are you currently contracted under another dealer's license? *

Yes No

If yes, please list dealer(s) name or company

Do you have auction buying experience? *

Yes No

How many vehicles do you plan to buy/sell monthly? *

Less than 10 10 or more I'm not sure

EDUCATION

High School *

Diploma *

Yes No

College

Graduated

Yes No

References

REFERENCES

Please list three (3) references. One must be a professional reference.

Name *

Phone *

Relation *

Name *

Phone *

Relation *

Name *

Phone *

Relation *

Sign & Submit

ACKNOWLEDGEMENT

This is NOT an application of employment with DRIVE NEXT AUTOSALES, INC. The sole purpose of this application is for the request to be an authorized independent wholesale dealer under the principal licensing company DRIVE NEXT AUTOSALES, INC. This application does not guarantee approval with DRIVE NEXT AUTOSALES, INC. By signing below, you agree to the understanding of the above statement.

Signature *

Clear

PRINT FULL NAME *

Today's Date *

PHONE
Office 1(888) 925-1135

EMAIL
info@drivenextautosales.com

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