South Island
Imports

2035 Balsam Road

Nanaimo BC V9X 1T5

250.753.1119

Here is the information we have on file

Dealership Name

Legal Name

Registration Number

HST Number

Address

City

Province

Postal Code

Dealership Type

Phone

Fax

Enter Your Requested Changes or Corrections REQUIRED Your Requested Changes or Correction is required

First Name First Name is required

Last Name Last Name is required

Dealership Name REQUIRED Dealership Name is required

Province REQUIRED

City/Town REQUIRED

What is your position at the Dealership? REQUIRED Position is required

Dealership Phone Number REQUIRED Dealership Phone is required

Email Address REQUIRED Email Address is required

Re-Enter Email Address REQUIRED The Email Address does not match

South Island Imports
2035 Balsam Road
Nanaimo, BC, V9X 1T5

250.753.1119

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South IslandImports

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South Island
Imports