Credit Approval - Toll Free 866-720-6558
It is our goal to get you approved quickly and as hassle free as possible please provide the following information as well as a phone number you can be reached at so we can discuss your application with you.
First Name *:
Middle Initial :
Last or Business Name *:
The above is a Business name Personal name
Current Address* :
PO Box :
City* :
State *:
Zip Code *:
Phone* :
Fax :
Email *:
Time at residence :
Mortgage/Rent Payment :
Do you : Own - Rent - Live With Family - Other
Previous residence information will be required
Employer :
Occupation :
Time employed :
Work Phone :
Your previous employer information will be required
Vehicle your are interested in :
Stock Number :
Vin Number :
Year :
Make :
Model :
Down Payment :
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Yearly Gross Income :
Will there be a cosigner?
Additional cosigner information will be required:
Privacy Statement
For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. I further certify that I have attained the age of majority. I authorize you to check my credit and employment history and to provide and / or obtain information about credit experience with me.
498 E. Moorestown Road, Wind Gap, PA, 18091 | Phone: 610.863-7600 | Fax: 610.863-7400 | Alternate Phone: 610.972.2288
Copyright 2009. Bushkill Auto Sales: Lehigh Valley auto dealers. All rights reserved.
