APPROVAL

Application Information

Personal Information
First Name: *
 Middle Initial:*
 Last Name:*
Social Insurance Number:*
 Birth Date: *
Marital Status:*
 Day Telephone Number:*
( ) - 		Evening Telephone Number:*
( ) -
Email Address:*
Residential Information
Current Address:*
  
City:*
 Province:*
 Postal Code:*
Own Outright   Rent   Own with Mortgage   Other
How long have you lived at the above address?*
Years:  Months:

If you have not been at your current residence for more than 2 years please fill out the following information about your previous residence.
Previous Landlord/mortgage Holder:
Apt.:      Street Address:
         		P.O. Box:
City:
 Province:

 Postal Code:
Employment Information
Occupation:*

 Select one:*
Full-Time     Part-Time
Employer:*
 Employer Address:*
Employer Telephone Number:*
( )      -  		Monthly Income:*
How long have you been there?*
 Years:     Months:

If you have not been at your current job for more than 2 years please fill out the following information about your previous job.
Occupation:
 Select one:
Full-Time     Part-Time
Employer:
 Employer Address:
Work Telephone Number:
( )      -  		Monthly Income:
 
Have you declared bankrupcy in the last 7 years?   yes No

Vehicle Information
What type of vehicle are you interested in?
  
Do you have a trade?    yes No
If Yes:
Year:
Make:
Model: Kms:
Outstanding Balance:  

Agreement

By submitting this application form, you certify that the information you have provided is true and accurate to the best of your knowledge. You authorize us, Nelson Chevrolet, Buick, GMC Ltd., and any financial source to whom we apply to share and exchange this information for credit purposes.

At Nelson GM, whenever you provide any personal information, we ensure that no one else can read it while it is being transmitted over the Internet.
   

Disclaimer:

At Nelson GM, whenever you provide any personal information, we ensure that no one else can read it while it is being transmitted over the Internet. This information is protected and transmitted through today's most advanced security systems. All of the information submitted via the secure form is encrypted (scrambled) prior to being sent to us.  This means that if an unauthorized party were to intercept it on the Internet, they would be unable to read it. We use Secure forms for all of our online Credit Applications (look at the status bar of your browser to see the secure image when you proceed to the next page). This safeguards all of your personal information while you are on these pages.

How Can I Further Protect Myself
The Internet does present a vast and open market, similar to a very large shopping mall. Therefore you need to take the same safety measures with your electronic information as you would in the 'physical' world. Seek Web sites that display reputable security symbols and NEVER give your information to anyone who contacts you via E-mail or Instant Message.

 

 

  



        EXPRESS CREDIT


Location 1
Nelson GM & RV
201 - 1st Ave West
Assiniboia, Saskatchewan
S0H 0B0
Tel : (306) 642-5995
Bus: (306) 868 2111
Fax : (306) 642-3009
Bodyshop: (306) 642-3434
Email : c.nelson@sasktel.net


Location 2
Nelson GM & RV
280 – Nelson Industrial Drive
Avonlea, Saskatchewan
Tel: (306) 868-2022
Bodyshop: (306) 868-2111
Fax: (306) 868-4420


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