DEALER REGISTRATION FORM | Paducah Auto Auction

Dealer Registration Form

Paducah Auto Auction, Inc
2600 John L. Puryear Dr.

Paducah KY 42003
Fax: (270) 442-9493
Phone: (270) 442-9197

General Info

Firm Name:

Owner's Name:

Address:

City

State:

Zip:

Phone:

Phone Fax:

Representatives:

Phone #:

Email:

Type Agency:

Used

Wholesale

New

If new what makes:

Dealership Info

Dealer Number:

Tax Number:

Bank or Finance Co:

Bank Phone:

Years in Business:

Soc. Sec. Number:

Account #:

Address:

City:

State:

Zip:

Name of officer:

Payment Preferences:

Cash

Check

Draft

References: (Preferably Auctions you are registered with):

BY SIGNING THIS FORM, YOU AND YOUR AGENTS AGREE TO ABIDE BY THE RULES AND POLICIES OF PADUCAH AUTO AUCTION, INC

BL:

BC:

LC:

Owner's Signature I hereby declare that the details furnished above are true and correct.

Date:

Dealer Name:

Address:

City

State

Phone Number:

Zip

Gentlemen:
I hereby authorize you to release the necessary credit information to this auction to enable us to do business there with our business checking account.

Account number:

Your prompt attention in answering their attached letter will be greatly appreciated.

Sincerely,

Title:

FOR DEALERS ONLY!

Security

- indicates required fields

After submitting the form, the PDF file will be available for download

BY SIGNING THIS FORM, YOU AND YOUR AGENTS AGREE TO ABIDE BY THE RULES AND POLICIES OF PADUCAH AUTO AUCTION, INC

Contact Info

Our Valued Partner:

Company Info