dealer-application-form

Dealer Application

Please complete the form below to open an account, subject to checks and approval. A member of our team will be in touch with you shortly, but if you have any questions please contact us:

Telephone: 0800 279 6401

Email: dealersupport@globaltelemetrics.com

Applicants Details

Name(Required)

Telephone Number(Required)

Mobile Number(Required)

Email(Required)

Company Details

Your Company(Required)

Street(Required)

City(Required)

County(Required)

Postcode(Required)

Country(Required)

Website URL

Opening Hours

Incorporation Year

Managing Director

Main Contact Name

Do you have retail premises?

Yes

Staff Details

Add Engineers

Name	Email	Contact Number	Training Required?	Mobile Fitting?	Areas Covered	Actions

There are no Entries.

Accounts Details

Contact Name

Telephone Number

Email Address

Supplier Details

Supplier Name

Submit public liability insurance

Policy Number

Provider

Date Valid From

Upload public liability insurance

Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.

CAPTCHA

Term & conditions

I have read the terms & conditions(Required)

yes