Seller application form

 

🔒 Application Form Fields for Authorized Sellers (Car Dealers & Realtors)

Section 1: Basic Information

  • Full Name

  • Business Name (if applicable)

  • Email Address

  • Phone Number

  • Business Website or Social Profile (optional)


Section 2: Business Type (Select One)

  • ☐ Licensed Real Estate Agent/Broker

  • ☐ Licensed Car Dealer


Section 3: Licensing Verification

  • License Number

  • License Issuing Authority (State/Region & Agency)

  • License Expiration Date

  • 📎 Upload a copy of your license (PDF, JPG, PNG)


Section 4: Business Location

  • Business Address (Street, City, State, Zip, Country)


Section 5: Listing Intent

  • 🏠 If Real Estate Agent:

    • What types of properties will you list?

    • Are your listings over $20 million? (Yes/No)

  • 🚗 If Car Dealer:

    • What brands or types of vehicles do you typically sell?

    • Are your vehicles over $200,000 in value? (Yes/No)


Section 6: Terms & Agreement

  • ☐ I confirm I am a licensed professional in my field.

  • ☐ I understand this platform is only for verified listings over the required value.

  • ☐ 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:
please
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:

  • Add server-side processing to handle form data securely.

  • Connect file upload to your preferred backend or cloud storage (e.g., Hostinger, AWS, etc.).

  • 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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