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BRIDGEWAY AUTOSALES GROUP

Dealer Membership Application

Take your first step towards becoming an authorized independent auto dealer with BridgeWay Autosales.
Please complete the application below to initiate the process.

There's a $65 non-refundable application fee.

Your Information

Your Information

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 *

Select 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

EXPERIENCE

Do you have previous experience with auto sales? *

Yes No

If yes, how many years.

Do you already have an Auction Access ID number? (select Yes even if your ID is inactive) *

Yes No

If yes, please enter your Auction Access ID below

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

Yes No

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

Do you have any auction buying experience? *

Yes No

Please select the dealer package you would like to sign up for *

Dealer Basic Membership ($199) Dealer Pro Membership ($299) Team Pro Membership ($699)

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

Less than 10 10 or more I'm not sure

Education

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 *

Signature

BACKGROUND CHECK

BridgeWay Autosales Group, LLC. will perform a background check on all new members. By check the box below you acknowledge and agree to a background check.

I hereby authorize BridgeWay Autosales Group, LLC. to conduct a background check. *

I agree

ACKNOWLEDGEMENT

This is NOT an application of employment with BRIDGEWAY AUTOSALES GROUP, LLC. The sole purpose of this application is the request for membership under the principal auto dealer licensing for BRIDGEWAY AUTOSALES GROUP, LLC. This application does not guarantee approval with BRIDGEWAY AUTOSALES GROUP, LLC. By signing below, you agree to the understanding of the above statement.

PRINT FULL NAME *

Today's Date *

Application Fee

Price: $65.00

Payment Method *

Credit/Debit Card

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info@bridgewayautos.com

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