BARRIE AUTO AUCTION LTD.
434 TIFFIN STREET, BARRIE ON L4N 9W8
PLEASE PRINT USING PRINT ICON IN TOOL BAR ABOVE
COMPLETE AND FAX REGISTRATION FORM TO: 705-725-8190
DEALER REGISTRATION
REQUIREMENTS
ONLY LICENCED MOTOR VEHICLE DEALERS AND THEIR AUTHORIZED REPRESENTATIVE(S) FIRST APPROVED BY THE AUCTION MAY DO BUSINESS AND MUST SUPPLY:
1. DEALER REGISTRATION COMPLETED IN FULL WITH SIGNATURE(S) OF THE OWNER(S) AND THEIR AUTHORIZED REPRESENTATIVE(S)
2. COPY OF - ARTICLES OF INCORPORATION (first and last page)
3. COPY OF - MOTOR VEHICLE DEALER LICENCE AND EACH ANNUAL RENEWAL THERE AFTER
4. COPY OF - G.S.T REGISTRATION (or blank remittance form)
5. COPY OF - VENDOR'S PERMIT (PST)
6. COPY OF - OWNERSHIP (to verify RIN #)
7. COPY OF - VOID COMPANY CHEQUE (business name imprinted)
8. COPY OF - VALID INSURANCE (attached waiver signed)
9. COPY OF - OMVIC REGISTRATION CERTIFICATE FOR EVERY AUTHORIZED REPRESENTATIVE
10. COPY OF - VALID DRIVER'S LICENCE (front & back)
11. TRADE AND CREDIT REFERENCE ACCEPTABLE TO THE AUCTION
12. (OPTIONAL) COPY OF OTHER AUCTION CARDS (reference purposes)
Barrie Auto Auction Ltd.
Dealer Registration Form (Please Print)
Company Name ______________________________
Telephone Number # _______________________________
Cell Number # _______________________________
Fax Number # ________________________________
Email Address ________________________________
Bus. Address Street____________________________
City ____________________________________
Province ________________ Postal Code __________________
MAILING ADDRESS – ( If different than above )
Street Address __________________________City____________
Province ___________________Postal Code _________________
Corporation? ____Yes or No____ Date of Incorporation ________
Partnership?_____Yes or No____
Sole Proprietor?_____Yes or No____
MVDA DEALER # ____________________________________
R.I.N. Number _________________________(supply copy of ownership)
G.S.T. Number _____________________P.S.T. #______________
Name of Bank __________________________________________
Bank Telephone # _______________________________________
Bank Address Street______________________
City_________________________
Province_____________________
Postal Code__________________
Is Account in Company Name? Yes or No_______
Name of Dealer Principal___________________________
Home Address___________________________________
City____________________________________________
Province________________________________________
Postal Code_____________________________________
Residence Phone # _______________________________
Name of Insurance Company _______________________
Policy Number # _________________________________
Expiry Date:_____________________________________
Address of Insurance Company
Street__________________________________________
City___________________________________________
Province_______________________________________
Postal Code____________________________________
Are you a Independent Dealer?
Yes_______ or No________
Are you a Franchise Dealer?
Yes_______ or No________
If Yes to Franchise please check one:
Ford___,G.M.___, Chrysler___,Import___
Please state your particular interest in Barrie Auto Auction Ltd.
Buying________, Selling ________, or Both __________
Number of cards require: _______________
Name(s) of Dealer Agents Authorized to buy or sell:
1)____________________________
2)____________________________
Please Check Other Auctions Attended:
MANHEIMS TAA_______,
MANHEIMS OSHAWA_______,
ADESA TORONTO______,
SUDBURY ________, NTVA_______.
The Undersigned declares that the statements made herein are for the purpose of obtaining auction privileges at the Barrie Auto Auction Ltd. And are to the best of my/our knowledge true and correct. The applicant (s) consents to the Barrie Auto Auction Ltd. making any inquiries with credit reporting agencies if deemed necessary to reach a decision on this application.
Signature: _____________________________________
Date: _________________________________________
Applicant acknowledges that he/she has received a copy of the Barrie Auto Auction Ltd. Policies and agrees to be bound by said policies (whether buying or selling) together with all terms and conditions both announced and posted from time to time.
Signed Owner(s) ______________________________________
_________________________Title ________________________
Date: ________________________________________________
www.barrieautoauction.com
*Tel (705) 725-8183 *Toll 1-877-225-8886 *Fax (705) 725-8190