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Name

First Name

Last Name

Birthday

Select day you were born

YYYY

Marital Status

Drivers Licence Number

Driver License Version Number

Mobile Phone

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you own your own home

Are you a New Zealand Resident

If you are not a NZ Resident, do you have a work permit?

Work Permit Expiry Date

YYYY

Unit Type

Select the type of unit you would like to purchase, if it is Unit 4 (custom) you may get a quote from the Shop page prior to filling out finance application form.

Privacy Act Statement

Before completing this application it is a requirement that you read and accept the below Privacy Act Statement. The Privacy Act 1993 I/we authorise Auto Loan Services/Auto Loan Company* to collect, retain and use the personal information about me/us, for the purposes of: Assessing my/our credit worthiness; Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing Auto Loan Service’s/Auto Loan Company's rights there under; Marketing and/or informing me/us about the goods and services provided by Auto Loan Service/Auto Loan Company . I/we authorise Auto Loan Services/Auto Loan Company to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal, financial and commercial information about me/us for the said purposes. I/we authorise Auto Loan Service/Auto Loan Company to provide this information: To any person for the foregoing purposes; to any employees and agents of Auto Loan Services/Auto Loan Company and/or any other person, in any ordinary course of business, for any of the foregoing purposes; To credit agencies for the purpose of maintaining proper or effective records. I/we acknowledge that if i/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that pursant to the Privacy Act 1993, I/we have a right of access to information collected by Auto Loan Services/Auto Loan Company about me/us and to request that this information be corrected. The information will be held at the office of Auto Loan Company, Unit 11, 294-296 Montreal Street, Christchurch or the registered offices of any party nominated by Auto Loan Services/Auto Loan Company. *Auto Loan Services/Auto Loan Company and other associated third parties. To verify your acceptance of the above Privacy act statement please enter the word ACCEPT into the text box below and click the submit button.

Apply for Finance below and our Finance Partner will be in touch with you

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