SouthCoastAuto.us - Industrial Grade Electric Car Franchise

General Information
Company Name
Email Address
Address
City
State
Zip
Internet Usage:	Yes No
Phone
Fax
Ownership and Principal Contact Information
Principal Owner
Phone
Other Owners
A)
Title
Phone
Fax
Mobile
B)
Title
Phone
Fax
Mobile
C)
Title
Phone
Fax
Mobile
Principal Contacts
Sales
Title
Phone
Fax
Mobile
Services
Title
Phone
Fax
Mobile
Financial
Title
Phone
Fax
Mobile
Marketing
Title
Phone
Fax
Mobile

Years in Business
Number of Employees
Number of Sales Personnel
Number of Service Personnel
Territory Covered Presently
Corporate Information
Official Trade Name or DBA
Federal Tax ID#
Legal Name
Legal Address
City
State
Zip
Phone
Fax
Corporate Officers
President
Vice President
Treasurer
Secretary
Business Insurance Information
Agency
Address
City
Banking Information
Bank Name
Bank Address
Bank City
Bank County
Bank State
Bank Phone
Bank Fax
Bank Contact Name
Type of Company
Corporation	Sub S
Partnership	Sole Proprietor
L.L.C.	Other
Date of Incorporation
State of Incorporation
Year End
Gross Sales Amount
Net Income
Net Worth
Account Number
Savings
Checking
Number of Loans
Manager Information
General Manager
Sales Manager
Service Manager
Controller
Trade and Business References
A)
Contact
Company
Address
City
State
Zip
Phone
Fax
B)
Contact
Company
Address
City
State
Zip
Phone
Fax

South Coast Auto is committed to maintaining the confidentiality of information provided to it. Any information that is provided to South Coast Auto, such as e-mail address, phone numbers, financial information, or any other information provided on this form or the South Coast Auto’s website will be collected by South Coast Auto for its sole use and will not be shared with any other parties except as required by law. South Coast Auto will use the information provided for normal business practices and in communicating with the person(s) or company who have provided the information.

General Information

Ownership and Principal Contact Information

Other Owners

Principal Contacts

Corporate Information

Corporate Officers

Business Insurance Information

Banking Information

Manager Information

Trade and Business References