NCR Form

DEALERSHIP DETAILS

Dealership Name {{ $requestDataArray['dealership_name'] }}

Email {{ $requestDataArray['dealership_email'] }}

Mobile Phone + {{ $formated_number }}

Landline Number + {{ $formated_number }}

Dealership Address {{ $requestDataArray['dealership_address'] }}

Postcode {{ $requestDataArray['dealership_postcode'] }}

CONTACT DETAILS

Full Name {{ $requestDataArray['contact_name'] }}

Position {{ $requestDataArray['contact_position_one'] }}

Email {{ $requestDataArray['contact_email_one'] }}

Contact Number + {{ $formated_number }}

Point Of Contact {{ $requestDataArray['point_of_contact'] }}

Position {{ $requestDataArray['contact_position_two'] }}

Email {{ $requestDataArray['contact_email_two'] }}

Contact Number + {{ $formated_number }}

Other Detail

Subscription Type {{ (!empty($requestDataArray['subscription_type'])) ? str_replace('_', ' ', $requestDataArray['subscription_type']) : 'N/A' }}

Monthly Period @if(!empty($requestDataArray['period'])) {{ $requestDataArray['period'] }} {{ ($requestDataArray['rolling'] == 'yes') ? ', Rolling' : '' }} @else {{ 'N/A' }} @endif

Package Type {{ (!empty($requestDataArray['package'])) ? $requestDataArray['package'] : 'N/A' }}

Number of Cars {{ (!empty($requestDataArray['number_of_cars'])) ? $requestDataArray['number_of_cars'] : 'N/A' }}

Feature Cars {{ (!empty($requestDataArray['featured_cars'])) ? $requestDataArray['featured_cars'] : 'N/A' }}

Feature Dealers {{ (!empty($requestDataArray['featured_dealers'])) ? $requestDataArray['featured_dealers'] : 'N/A' }}

Start Date {{ (!empty($requestDataArray['package_start_date'])) ? date('d-m-Y', strtotime($requestDataArray['package_start_date'])) : 'N/A' }}

First Invoice Date {{ (!empty($requestDataArray['first_invoice_date'])) ? date('d-m-Y', strtotime($requestDataArray['first_invoice_date'])) : 'N/A' }}

Package Fee £ {{ (!empty($requestDataArray['package_fee'])) ? $requestDataArray['package_fee'] : 'N/A' }}

Monthly Fee £ {{ (!empty($requestDataArray['monthly_fee'])) ? $requestDataArray['monthly_fee'] : 'N/A' }}

Data Protection Disclaimer Under the General Data Protection Regulation (GDPR) (EU) 2016/679, we have a legal duty to protect any information we collect from you. Information contained in this form may be privileged or condential and intended for the exclusive use of the original recipient. For more details please visit: https://www.autocoincars.com/privacy

Yes By signing you agree with our Terms & Condition. For more details please visit: https://www.autocoincars.com/dealers-terms-and-conditions

Yes Our Company would like to send you information about products and services of ours that If you have agreed to receive marketing, you may always opt out at a later date. You have the right at any time to stop Our Company from contacting you for marketing purposes or giving your data to other members of the Our Company Group.

Yes I am authorised to sign this on behalf of the dealership.

Yes I authorise Auto Coin Cars to take our stock data from feed or our website.

Sales Rep Name {{ $requestDataArray['sales_recipient'] }}

Signature

Dealer Rep Name {{ $requestDataArray['dealer_recipient'] }}

Signature