Please Select Your Registration Type Fleet Customer - First time Registration Dealer - On behalf of Fleet Customer Dealership Name Dealership Code Contact Name Contact Phone Contact Email   Please Provide Company and Contact Details Company's ABN * Email Address * First Name * Last Name * Your Title * - Select Your Title - Mr. Mrs. Miss Ms. Dr. Prof. Rev. Other Phone Number +   Fleet Size (Vehicles) * I am a representative of this organisation and have the authority to act on its behalf   Please Confirm Your Company's ASIC Details ABN ASIC Trading Name Main Trading Name Entity Description Company Postcode   Please Provide Additional Information Company Details Position * - Select Your Position - Fleet Manager Fleet Officer Account Manager Business Development Manager Director Operations Manager State Manager Purchasing Manager Purchasing Officer Chief Executive Officer Chief Financial Officer Accountant General Manager Company Trading Name * I am a representative of this organisation and have the authority to act on its behalf Industry * - Select Company Industry - AG/Primary Producer Ambulance Business Owner Clerical Courier Transport (Other than Courier) Defence Forces Engineering Education Financial Fire & Rescue FMO - Fleet Management Org Information Technology Legal Managerial Medical Marketing Mining Not for Profit Organisations Police Professional Services Public and/or Government Retail Trade Tradesman/Craftsman Wholesale Other Street Address * Suburb * State * - Select Company State - ACT NSW QLD SA TAS VIC WA NT Postcode *   Company Postal Address Copy Details From Street Address Postal Address * Postal Suburb * Postal State * - Select Company State - ACT NSW QLD SA TAS VIC WA NT Postal Postcode *   Please Provide Fleet Information Company Vehicles   Vehicle Policy Change Over Policy Purchase Policy Selection Policy KMs. Months Leased or Owned Choice or Directive Management Cars -Select - Leased Owned Both -Select - User Choice Company Directive Field Cars -Select - Leased Owned Both -Select - User Choice Company Directive   Fleet Size By State QLD NSW/ACT VIC TAS SA WA NT National Left to allocate   In the next 12 months,approximately how many fleet vehicles will be replaced or renewed?   Fleet Size By Brand LDV Hyundai Ford Toyota Fiat Renault Merc B Volkswagen Mitsubishi Nissan Others Passenger SUV Passenger Other Light Busses < 20 Seats Light Busses > 20 Seats Vans/CC <= 3.5t Vans/CC 3.5t+ Utility   Heavy Truck   Other   Left to allocate   Dealer Details Current LDV Automotive Dealer (if applicable) Current Fleet Management Organisation (if applicable)   Message (if applicable)   Submit Application The registration process will generally be completed in 2 working days of your submission however, LDV Automotive may need to contact you directly to confirm details. You will receive an email with your LDV Automotive Business Partner Number to unlock Fleet Discounts.   I have read and agreed to the terms in the LDV Privacy Policy I wish to receive news and updates from LDV Automotive Australia