Company Info

Company Name *

Street Address *

City, State, ZIP *

Contact Person *

Phone *

Mobile *


Dealership Details

In Business Since: *

Annual Revenue *

Dealer Flooring

Dealer Operating System

Dealership Heritage

Brands Carried

Location characteristics

Total Square Footage *

Number of Permanent Staff

Expected Number of Staff to be Trained on Alta Motors products

Why do you want to be a dealer for Alta? *




(Please list only consumer finance institutions, not banks or credit unions)
Alta may require a detailed financial statement, or in the case of a new business, a detailed business plan. Do you agree to provide detailed, up-to-date financial statements, in strict confidentiality, when requested by Alta?


Bank Name

Bank Address

Bank Contact Info

Name of Account Holder

Checking Acct #

Savings Acct #

Loan Acct #

Business References

Contact Name, Company, Contact Info

Please list as many references as you like, and how to contact them.
Thank you for your interest in Alta Motors!
We'll be following up with you shortly.