*
First Name :
|
*
Last Name :
|
Company
:
|
Trading
Name :
|
Company
Registration Number :
|
Dealers
License Number :
|
Your Title
:
|
* Street
Address :
|
* Zip
/ Postal Code :
|
Home Address
:
|
* Country
:
|
* eMail
Address :
(besides aol, yahoo, or hotmail) |
Website
Address :
|
* Phone
:
|
* Fax
:
|
* Mobile
Phone :
|
After
Hours Phone Number :
|
*
Port you want your car shipped to :
|
Delivery
Address :
|
| Number
of Dealerships :
|
|
Number of Stock Units :
|
|
Total Import Volume from Japan :
|
|
Average Monthly Import Sales Volume from Japan :
|
Dealer
Principle :
|
* How
did you come to know our system for the first time? :
|
| After
we assess your data, only successful applicants will be
informed of the ID and Password to log in by e-mail.
|