Ford Business Fleet Registration

Dealer Details

Business Details

Registrant Details

Fleet Size

Ford Motor Company of Australia Ltd ACN 004 116 223 (Ford) is collecting your personal information in order to fulfil your request.

If you have consented or if otherwise permitted by law, Ford may also contact you with marketing material that may interest you. Ford may disclose your personal information to its dealers, its related companies and third parties who provide it with (or help it provide) products and services, including to overseas locations such as the USA, India, China and Singapore.

Ford’s privacy policy states how you can seek to access or correct any personal information Ford holds about you, how to complain about a privacy breach by Ford and how Ford will deal with a privacy complaint. You can contact Ford at 13 FORD (13 3673), at or via the Contact Us page.

Want more?
Would you also like to hear about special offers and other news about Ford vehicles that can meet your business needs?

Vehicles must be purchased for Business use and be registered or leased in your Business name. Any misrepresentation of a Business’ eligibility to purchase products under the Ford Business Fleet Program may result in legal action being taken to recover any loss or damage suffered including (but not limited to) loss of profit.

Print this form before clicking the Submit button.

Please enter the characters you see in the image. Doing so prevents abuse of the system by automated programs. If the characters are unclear or illegible, either enter a guess or reload the image to provide a new set of characters. Reload Image

Fields marked "*" are required.

I confirm that the information provided in this form is correct and accurate.

Customer name:_______________________________________ Sales Manager name:___________________________________
Signature:____________________________________________ Signature:____________________________________________
Date:________________________________________________ Date:________________________________________________

Completion of the customer and Dealer signature panel is only required for Silver and Gold customer levels.