Signup

This form is for garages looking to become a Payment Assist member. If you're a consumer looking to utilise Payment Assist for a purchase, please click here to locate an existing dealer close to you instead.

Business Details
Please enter your business name
Please enter a contact name
Please enter your email address
Please enter your telephone number
Please enter your address
Please enter your town/city
Please select your county
Please enter your postcode
Bank Details

Please enter the account details where you would like to receive payments:

Please enter your bank name
Please enter your sort code
Please enter your account number
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