Highlands Financial

New Dealer Application

 
Business Name


Type of Ownership
Business Street Address

City

State

Zip

 
Business Phone

Cell Phone

Business Fax
Date Business Established

Number of Years at Present Address

Facilities

Contact Person
Email Address
Website
Retail Financing Sources
Name
Phone
Name
Phone
Name
Phone
Floor-Planning Companies
Name
Phone
Credit Line
Name
Phone
Credit Line
Name
Phone
Credit Line
Product Line / Manufacturers you carry
Name
Phone
Floor planned with
Name
Phone
Floor planned with
Name
Phone
Floor planned with
Name
Phone
Floor planned with
Additional Information
Submit Your Dealer Application
Please let us know who has submitted this form and how we can reach you. Thank you!
Your Name
Your Phone Number
Your Email Address
Comments

   
06/26/2017 at 18:42

Our Privacy Policy

Your privacy is very important to us

Highlands Financial takes your privacy very seriously. Because you trust us with your and your customer's personal information, we respect your privacy and safeguard this information. We pledge to protect the information you submit to us.

To help safeguard your information, we will need to collect and remember information about you. In order to complete a transaction, it is necessary for you to submit personal information to us. We may ask you to register for an account at our site. During registration we will ask you to provide us with a Customer Identifier and password. This ensures that when you complete online transactions with us, it will always be safe and secure.

Highlands Financial web site uses personal temporary session cookies to assist us in securing your online activities. Our website registration features require that you accept all cookies in order for the web site feature and security mechanisms to function properly.

We respect your privacy and take protecting that very seriously.

Close