New Bluechip Dealer Application Form

Thank you for your interest in becoming a member of Blue Chip Dealer Group!

Please complete the form below and submit your details and we will get back to you.

Blue Chip Dealers' Constitution, Code of Conduct and Disciplinary Code
Please confirm that your dealership meets all the following criteria*
If your dealership has met all the criteria set out above, you will be contacted shortly by a member of the Blue Chip Dealer Group

Should you require any assistance, please contact Walda Viljoen at 011 288 7300 or email admin@bluechipdealers.co.za
Dealership Name*
Contact Person*

First NameLast Name
Address*

Province

Postal Code
Province*
Contact Number*
E-mail*

Confirmation Email
Should be Empty: