Volkswagen Bank New User Request Form

Company Name *

This field is mandatory and must be filled in.

Title *

This field is mandatory and must be filled in.

First Name *

This field is mandatory and must be filled in.

Last Name *

This field is mandatory and must be filled in.

Number *

This field is mandatory and must be filled in.

Street *

This field is mandatory and must be filled in.

Postal-Code *

This field is mandatory and must be filled in.

City *

This field is mandatory and must be filled in.

Email *

This field is mandatory and must be filled in.

Date of Birth *

This field is mandatory and must be filled in.

Telephone *

This field is mandatory and must be filled in.

Position *

This field is mandatory and must be filled in.

Netting account access *

This field is mandatory and must be filled in.

View Only: view of the Netting Account
Authorised Drawer: view is the same as view only selection
No: no access required to view the Netting Account

Funding Manager Access *

This field is mandatory and must be filled in.

View Only: view vehicle funding
Authorised Drawer: view, add, and redeem vehicle funding
No: no access required for Funding Manager

Retailer number(s) *

This field is mandatory and must be filled in.

Retailer main telephone number *

This field is mandatory and must be filled in.

* Mandatory fields (must be completed)

Authorisation and Direct Authority form statement

* I verify that these details are correct and I am authorised to make these changes to my outlets records and that the Director Authority form has been downloaded to be signed and sent: Data submission confirmed , Authorised Signatory form confirmed.

This field is mandatory and must be filled in.