Seller application form
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🔒 Application Form Fields for Authorized Sellers (Car Dealers & Realtors)
Section 1: Basic Information
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Full Name
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Business Name (if applicable)
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Email Address
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Phone Number
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Business Website or Social Profile (optional)
Section 2: Business Type (Select One)
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☐ Licensed Real Estate Agent/Broker
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☐ Licensed Car Dealer
Section 3: Licensing Verification
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License Number
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License Issuing Authority (State/Region & Agency)
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License Expiration Date
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📎 Upload a copy of your license (PDF, JPG, PNG)
Section 4: Business Location
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Business Address (Street, City, State, Zip, Country)
Section 5: Listing Intent
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🏠 If Real Estate Agent:
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What types of properties will you list?
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Are your listings over $20 million? (Yes/No)
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🚗 If Car Dealer:
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What brands or types of vehicles do you typically sell?
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Are your vehicles over $200,000 in value? (Yes/No)
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Section 6: Terms & Agreement
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☐ I confirm I am a licensed professional in my field.
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☐ I understand this platform is only for verified listings over the required value.
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☐ I agree to the [Terms & Conditions] and [Privacy Policy].
📎 Digital Signature
🕹️ Captcha or bot protection field
Would you like me to generate the full HTML for this form, or send a Word/PDF version you can give to your developer?
You said:
ChatGPT said:
Here is the full HTML form code for your website www.forsalevip.com that only allows licensed car dealers and real estate agents to apply to list:
✅ Fully-Functional, Copy-Paste HTML Form Code
html<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Application Form - ForSaleVIP</title>
<style>
body {
font-family: Arial, sans-serif;
background: #f7f7f7;
padding: 40px;
}
form {
background: #fff;
max-width: 600px;
margin: auto;
padding: 30px;
border-radius: 8px;
box-shadow: 0 0 15px rgba(0,0,0,0.1);
}
h2 {
text-align: center;
margin-bottom: 25px;
}
label {
font-weight: bold;
display: block;
margin-top: 15px;
}
input, select, textarea {
width: 100%;
padding: 10px;
margin-top: 5px;
border-radius: 5px;
border: 1px solid #ccc;
}
input[type="file"] {
padding: 3px;
}
.checkbox-group {
margin-top: 15px;
}
.checkbox-group input {
width: auto;
margin-right: 10px;
}
button {
background: #000;
color: #fff;
padding: 12px 20px;
border: none;
border-radius: 5px;
font-size: 16px;
cursor: pointer;
margin-top: 20px;
width: 100%;
}
button:hover {
background: #333;
}
</style>
</head>
<body>
<form action="#" method="POST" enctype="multipart/form-data">
<h2>ForSaleVIP Verified Lister Application</h2>
<label>Full Name</label>
<input type="text" name="fullname" required>
<label>Business Name (if any)</label>
<input type="text" name="businessname">
<label>Email Address</label>
<input type="email" name="email" required>
<label>Phone Number</label>
<input type="tel" name="phone" required>
<label>Website or Social Profile (optional)</label>
<input type="url" name="website">
<label>Business Type</label>
<select name="businesstype" required>
<option value="">-- Select One --</option>
<option value="real_estate">Licensed Real Estate Agent/Broker</option>
<option value="car_dealer">Licensed Car Dealer</option>
</select>
<label>License Number</label>
<input type="text" name="licensenumber" required>
<label>License Issuing Authority</label>
<input type="text" name="authority" required>
<label>License Expiration Date</label>
<input type="date" name="expiration" required>
<label>Upload Copy of License</label>
<input type="file" name="licenseupload" accept=".pdf,.jpg,.jpeg,.png" required>
<label>Business Address</label>
<textarea name="address" rows="3" required></textarea>
<label>What will you list?</label>
<textarea name="listingintent" rows="3" placeholder="e.g., Lamborghini, Bugatti... OR Ultra-luxury real estate properties over $20M" required></textarea>
<div class="checkbox-group">
<label><input type="checkbox" required> I confirm I am a licensed professional in my field.</label>
<label><input type="checkbox" required> I understand listings must meet the minimum value requirements.</label>
<label><input type="checkbox" required> I agree to the Terms & Conditions and Privacy Policy.</label>
</div>
<label>Digital Signature (Type Full Name)</label>
<input type="text" name="signature" required>
<button type="submit">Submit Application</button>
</form>
</body>
</html>
🔧 Developer Notes:
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Add server-side processing to handle form data securely.
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Connect file upload to your preferred backend or cloud storage (e.g., Hostinger, AWS, etc.).
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You can also integrate email notifications or admin panel alerts upon submission.
Would you like me to zip this into a downloadable file for your developer?
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