* Please be sure to fill in all Required fields.

NEW DEALER REGISTRATION


Welcome to Choko.com. Please use the following form to register for access to our exclusive dealership site.


Your Choko representative will contact you once your account has been approved.


*Required fields

SHIPPING DETAILS
  
Country Please select a valid item.Please select an item. *
   
Address 1 A value is required. *
   
Address 2
   
City A value is required. *
   
State/Province A value is required. *
   
Zip Code A value is required. *
   
DEALERSHIP DETAILS
  
Brand Please select a valid item.Please select an item. *
   
Dealership Name A value is required. *
   
Choko Account Number A value is required. *
   
LOGIN DETAILS
  
First Name A value is required. *
   
Last Name A value is required. *
   
UsernameA value is required.The values don't match. A value is required. *
   
Password Your password must be at least 6 characters long.Your password must be at least 6 characters long.Your password must be at least 6 characters long. *
   
Confirm Password A value is required.Your passwords do not match.A value is required. *
   
Phone A value is required. *
   
Email A value is required. *
  

Security Check

Please enter the words/numbers that you see in the image below. Doing so helps prevent automated programs from abusing this site.

If you are not sure what the words are click the speaker button to hear the text or click the refresh button to generate a new security image.