IF YOU ARE A DEALER PLATE CLIENT and none of your information has changed:  enter your name, phone number, and company name (it is not necessary to fill in all company information fields).

NEW CLIENTS/INQUIRIES:  enter the information as it should print on your forms. 

When entering information, press the TAB key to advance to the next field.  Your typed information may be longer than the field displays on the screen (the information will scroll to display).  After entering your order, click SUBMIT at the bottom of this form.

Contact Name:

Title:

Phone:

Fax:

Company Name:

President/Owner:

Physical Address:

Mailing Address:

County/Parish/Borough:

Email:

Dealer Number (assigned by your state):

State Sales Tax ID number (if required on your forms):

Sales Tax Rate, if you collect sales tax (if more than one rate, please break out, for example: 4% State; 2% City):

Company Slogan or Web Site Address (if this field is left blank, the default "Your Quality Dealer" will be used):

Your operating system:

Check the rent to own option that applies:

Ren'T'Own

SEADRA

Independent Rent To Own

I am renewing my subscription and THERE ARE NO CHANGES.  (You will be contacted by phone to confirm your order.  In an effort to protect you, we do not accept charge card information via email.)

I am renewing my subscription and we are ADDING or DELETING options, please call.

We have the fully-licensed version of Dealer Plate (Dealer Management, Rent To Own or DP Suite) and are interested in purchasing an update, please call.

Free Demo.  Please send a free 10-day demo via email download.  Complete the customer information and provide your email address, above.  You will be contacted by phone to confirm your order.

I am placing an order for the first time.  Please call me to complete my order. 

Thank you for your order.