Scott Honda

Registration Form

Dealership Name: ________________________________________
Date Established: ___________________
Address: ________________________________________________
City: ______________________ State : ___________ Zip: ________
Phone #:___________________ Fax #:________________________

If principle owner is not the only bidder please fill out the following:

I __________________, give permission to the following to bid under my
         owner - print name
dealership name at Scott Honda's Bid Sale Auction.
        

                                               _____________________________
                                                                 owner signature

Representative Name(s): __________________________________
                                         __________________________________
                                         __________________________________
Cell #(s):_______________________________________________
Email(s):________________________________________________

Required Forms:

 Copy of Dealer Registration Form
 Copy of Dealer Wall License
 Copy of Representative(s) Driver's License
 Copy of Representative(s) Sales License