Spunky's Motorcycle Shop Credit Application

Dealers for Kawasaki, KTM and Yamaha Motorcycles

Credit Application

*** Indicates Required Form Field

MAIN APPLICANT CO-APPLICANT (If Co) Main Applicant's Full Name:
Last Name: ***	*
First Name: ***	*
Middle Name:
Email Address:
Phone: ***	*
Cell Phone:	*
Address: ***	*
City: ***	*
Province: ***	*
Postal Code: ***	*
S.I.N.: ***
Birthdate (MM/DD/YY): ***

Employment Details
Current Employer: ***	*
Job Title:	*
Address:
Phone:
Gross Monthly Income: ***	*
How Long with Current Employer: ***	*
Current Position:
Other Income:
Other Income Details:

If you've been at your current Job for less than 2 years, please provide the following:
Former Employer:
Phone:
Occupation:
How long with Former employer:

Residential Details
OWN RENT OTHER: (If Other. provide details)
Monthly Payment: ***	*
How Long at Address: ***	*
Balance on Mortgage:
Market Value:
If you have been in your current address for less than 2 years, please provide your previous address:
How Long at Address:

Unit Details
Make:	*
Model:	*
Year:	*
Down Payment:	*

* I HEREBY GIVE SPUNKY'S MOTORCYCLE AND THEIR FINANCING BROKERS AND LENDERS CONSENT TO COLLECT AND DISCLOSE INFORMATION ABOUT ME FOR THE PURPOSE OF OBTAINING A VEHICLE LOAN. INCLUDING THE RECEIPT AND EXCHANGE OF CREDIT BUREAU AND PERSONAL INFORMATION ABOUT ME FROM CREDIT REPORTING AGENCIES, CREDIT BUREAUS, AND OF YOUR AFFILIATES, ANY CREDIT GRANTOR OR ANY OTHER SOURCE.

Enter the three letters from the image:

SPUNKY'S Motorcycle Shop, 969 Fairdowne Road Box 525 Click Here for Map
Parksville, BC Canada V9P 2G3 Tel: 250.248.8828 Fax: 250.954.0542
Store Hours: Tue - Fri: 9 am to 5:30 pm; Sat: 9 am to 5 pm; Sun & Mon: closed
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