Dealer Registration
Welcome to the Haswent dealer sign up page.  

Please enter these quick questions and we’ll be in touch soon.  

Please enter your email address below, a copy of this form will be sent to this email address

Sign in to Google to save your progress. Learn more
Email *
What is your full name *
What is the name of your business *
Can you provide the trading address for your business  
*
What is your business contact number?  
*
Can you provide your business email address
*
  This is usually your sales email address for enquiries  
Do you have an existing website? If so provide the URL
We can match the page slugs on your existing website for additional SEO benefit, if you have a domain name but not a live website, please provide the domain name to use  
Can you provide the opening hours for your business  
*
Please enter a colour scheme for your website/business   
  e.g. Dark background with red highlighting to match the red in my logo   
If you would like to add a finance calculator to your website please choose the provider
*
  You can only do so if you are FCA registered  
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of haswent.

Does this form look suspicious? Report