Dealer Registration forms: page 1 of 3 (3 required forms): 1    2     3

Print all 3 forms, fill them out, and mail or fax to:

MENDENHALL AUTO AUCTION, INC. (hereinafter referred to as Auction)
PO Box 7505 High Point, NC 27264      FAX: 1-336-889-4482

Date _________________________

Name of Dealer ___________________________________________ Telephone ____________________

Address __________________________ City _________________ State _____ Zip __________________

BUSINESS INFORMATION

Is the dealer an Individual __________ Partnership __________ Corporation ____________ State_______

List of owners and officers:

Name _______________________________ Title __________________ Home Tel # __________________

Home Address _________________________________________________________________________

Name _______________________________ Title __________________ Home Tel # __________________

Home Address _________________________________________________________________________

Name _______________________________ Title __________________ Home Tel # __________________

Home Address _________________________________________________________________________

When was Dealer organized ________________ Dealers License No. _____________________________

Do you expect to buy _____________________________________ Sell ___________________________

If you expect to buy, will you use: Cash _____ Checks _____ Draft _______ (subject to auction approval)

Type of Dealer:
*Franchised _____ Used _____ Wholesale _____ Retail   *If Franchised make of car sold ______________

Franchise # _____________________ Fax # ___________________________

CREDIT INFORMATION

Bank ____________________________ Address _________________________ Phone ______________

Name of official _______________________________ Account t# _________________________________

How long doing business ________________________________________________________________

Finance Company _______________________________ Address _______________________________

Name of the official _______________________________ Credit or  Floor Plan Limit $ ______________

How long doing business _______________________________________________________________
If you have done business with either of the above for less than 3 years, give previous financial institutions

Bank _______________________________ Address __________________________________________

Finance Company ______________________________ Address _________________________________

REFERENCES
Other Auctions you attend ____________________________________ How long Registered __________

Other Auctions you attend ____________________________________ How long Registered __________

Dealer or Other Business Reference ____________________________ How long Acquainted __________

Dealer Registration forms: page 1 of 3 (3 required forms): 1      2       3

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