Become an Approved Retailer with CIS

Dealership Name:
Address:
City:
State:
Phone Number:	- -
Fax Phone:	- -
Contact Name:
*Email Address:
Do you have a web page? Yes No
If yes, address:
What mortgage products are you interested in? (Conventional, FHA, Advance Land/Home)
What percentage of your business is Chattel? Mortgage?
What manufacturer brand do you sell?
*Have you ever been signed up to do business w/ CIS? Yes No