Elite Advantage Financial


Type of vehicle required

Presently own a vehicle?	Yes No		Trading In?	YesNo

Down Payment?	YesNo		How Much?

First Name		Middle		Last Name

Email Address

Birth Date	Year

Address			City

Province			Postal Code

Home Phone			Work Phone

Cell Phone			Status #

Employer			Employer's Address

How Long?		Wages $		Have you had any previous credit? Yes No

How Did You Hear About Us?

Comments and/or additional information:


I, the undersigned, warrant the truth, accuracy and completeness of the foregoing information, and hereby take notice that the dealer proposed to procure or cause to be prepared a consumer Report, and the dealer is authorized to; 1. Investigate my credit and employment history; 2. Procure or cause to be prepared a consumer report or personal investigation; and 3. Release information about its credit experience with me.

Dominion Lending Centres Elite Advantage Financial
http://www.dlceliteadvantage.ca

Last updated July 20, 2009 10:33 p.m.