Auto Sales - Customer Application Form

Generic Customer Application for auto sales.

Categories:
Business Forms
Tags:
Shared by: mness

Customer Application Form

APPLICANT
E-mail *
Full Name *

First Name Last Name
Birth Date

Month Day Year
Gender

Female Male
Social Insurance Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone *

- Area Code Phone Number
Work Phone

- Area Code Phone Number
Cell Phone

- Area Code Phone Number
EMPLOYMENT
Employer Name
Employer Phone

- Area Code Phone Number
Monthly Income
Bi-Weekly Income
VEHICLE INFO
Desired Purchase
Referral / Sales Rep
Trade-In

Year Make Model
Additional comments
As a valued customer, we want to ensure your private information is kept private and only shared with those companies who are authorized either by yourself or as allowed or required by law. This document explains our privacy policy, gives you reasons why we ask for the type of information we do, and if we do reserve a right to share information with non-affiliated third parties, lets you "opt-out" of our reservation to do so. Please take a moment to read this entire policy.
Collection of Information: The purchase of a motor vehicle requires considerable accumulation of nonpublic personal information. For example, if we sell or lease you a vehicle - extending you credit at your request - we will receive information from you in order to determine your creditworthiness. We may also obtain information from a credit-reporting agency. We may also obtain information from third parties such as employers, references and insurance companies.
Some of the information we obtain from you may be required by provincial or federal agencies, such as the Ministry of Transportation or Revenue Canada. This information may be required even if you were to pay cash for your vehicle.
Form Submitted On

- Month - Day Year
at
: Hour Minutes
Should be Empty: