Auto Dealer Sign Up | Shoreham Bank

Joining the Shoreham Bank Preferred Dealer Referral Program is quick and easy. If you have questions, please call us at 401-773-9610 or contact us today.

* Required Fields

Full Name *

Company Name *

Phone Number *

Email Address *

Fax Number

Street Address

City

State

Zip Code

How did you hear about us? *

I/We hereby certify that the information contained herein is true and accurate to the best of my knowledge and understanding. Shoreham Bank also reserves the right to terminate this referral relationship at any time. *

Credit Check Authorization

During your loan application process, this institution performs a Credit Check that requires us to obtain and confirm information regarding your personal and financial background. This Credit Check includes, but is not limited to, your marital status, number of dependents, current and past employers, current deposit accounts, current and past consumer credit accounts, and your mortgage and/or rental history.

I/We AUTHORIZE this Credit Check *

Patriot Act Agreement

In accordance with Federal regulations set forth in the USA Patriot Act, this institution is required to verify the identity of any person applying for a loan to the extent reasonable and practicable, and maintain records of the information used to verify their identity. During your mortgage loan application process, we will require your name, current and past home addresses, date of birth, and other identifying information about you.

I/We AGREE to these terms *

Click here to review our website privacy policy.

I/We accept the terms of the privacy policy *

By providing this information, Shoreham Bank does not and shall not be construed to establish a joint venture, agency relationship or other form of business association between this referral partner and Shoreham Bank.

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Auto Dealer Sign Up Form

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