07 850 4909
38 Bryant Road, Te Rapa, Hamilton
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Finance available for Used Trucks and Light Commercials
Step 1 of 5 - Personal Details
First Name: *
* Please enter your full name
Last Name: *
* Please enter your full name
Birth Date: *
* Please enter your Birth Date.
Home Phone: *
* Please enter your phone number.
Mobile Phone:
Email Address: *
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Address: *
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Suburb:
Town/City:
Time at this Address:
Residential Status:
Own
Rent
Board
Live with Parents
Other
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Step 2 of 5 - Licence Details
Licence #: (5a) *:
* Please enter your full name.
Version # (5b) *:
* Please enter your Version Number.
Type Of Licence* :
Choose an option
Full licence
Restricted
Learners
No Licence
* Please choose your type of licence.
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Step 3 of 5 - Employment Information (optional)
Current Employer:
Work Phone:
Occupation:
Monthly Income:
Employment Type:
Time with Employer:
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Step 4 of 5 - Trade In Details (optional)
Year:
Make:
Model:
Rego No:
Odometer:
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Step 5 of 5 - Confirmation
I agree to a Credit Check: *
I Agree
I Disagree
*Please select an option for Credit Check
By clicking Submit, below, I confirm that all information provided, is accurate, up to date, complete, relevant and not misleading and that I am not an undischarged bankrupt, understand and agree to the terms and conditions, and that I will be contacted by phone or email from one of your business managers.
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