BRP Authorisation Request for Farmlands Card Transactions

Please fill out this form to submit a credit authorisation request with the Farmlands Credit Control team for all vehicles. For enquiries, please call 0800 200 600.

Vendor Detail

Dealership Select

If you cannot find your business, select *** Not Listed ***

Dealership Name

i.e. AFC Motorcycle

Farmlands Vendor #

Found on welcome email or remittance document

Dealer Contact Name

Dealer Phone

Dealer Email Address

Email address for response.

Farmlands Shareholder/Cardholder Detail

Account Name

eg Smith Farm Partnership

Shareholder Number

This is your 9 digit number on your Farmlands Card

Person's Name

eg. John Smith

Purchase Detail

Invoice Total (inc GST)

Amount being charged onto Farmlands Card inc. GST

(After deposit and trade in is deducted from purchase price)

Is the purchase to be financed

YesNo

Note: Farmlands Credit team operate Monday to Friday 8.30am to 5pm. We will endeavour to respond within 1 business day. Please note we may need to contact the shareholder for additional information prior to replying.

Other Comments

Contact Information