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Phone (08) 9472 2600
Welshpool Road, East Victoria Park
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Credit Application Form
1.
Where are you buying from
Where are you buying from
Dealer
Private Seller
Auction (online)
I'm not sure yet
Car Broker
Re-finance (end term)
Auction (traditional)
2.
Vehicle Details
Vehicle Make
Vehicle Model
Build Year
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
New, Used or Demo
New
Used
Demo
Unsure
3.
Finance Details
Finance Amount Required
Over what term?
2
3
4
5
Have you had finance before?
Yes
No
Are you a property owner?
Yes
No
What is your income?
(after tax)
per
Week
Fortnight
Month
Year
4.
Your Details
Title
Mr
Ms
Mrs
Dr
Hon
Name
*
Address
Postcode
Email
*
Contact Number
Work
Home
Mobile
Contact Time
Morning
Afternoon
Evening
How did you hear
about us?
Friend / Family / Colleague
I'm a Current / Past Client
The Age
Sydney Morning Herald
Master Builder Magazine
Business Franchise Magazine
drive.com.au
Discount New Cars
Prestige New Cars
RateCity
GoAuto
Google Search
Yahoo! Search
Bing Search
Other Search Engine
Unsure / Other
5.
Purchase Type
Vehicle Use
*
Private
Business
Fleet
0-10 Vehicles
10-50 Vehicles
50-100 Vehicles
100+ Vehicles
Tradesperson
0-10 Vehicles
10-50 Vehicles
50-100 Vehicles
100+ Vehicles
Are you interested in bulk finance?
Yes
No
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