Birth Date:
Telephone:
Work Telephone:
Cell Phone:
Email:
Marital Status: SingleMarriedWidowedSeparatedDivorcedCommon Law
Address: Street #    Street Name
  StreetType
City
Province
Postal Code
Length of Time at Address Years     Months
Rent or Own?: Rent Own
Monthly Rent/Mortgage:
Previous Address:
* If less than 2 years at current address.
Street #    Street Name
  StreetType
City
Province
Postal Code
Length of Time at Address: Years     Months
SIN#:  Please have your Social Insurance Number and Driver's License available when we call to confirm your application.
Present Employer:
Employer Address: Street #    Street Name
  StreetType
City
Province
Postal Code
Occupation:
How Long? Years     Months
Gross Monthly Income:
Do you plan to purchase/Lease a vehicle within:
Trade In? Yes No
Trade Info Year     Make     Model 
  Kilometres 
Vehicle Desired #1:
Vehicle #1 Type: Body Type -    Transmission:
Vehicle Desired #2:
Vehicle #2 Type: Body Type -    Transmission:
Vehicle Desired #3:
Vehicle #3 Type: Body Type -    Transmission:
How did you find us?

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Comments
  By checking this box, I consent to the collection, use and disclosure of my personal information as described in this paragraph. I agree that the personal information provided above may be used and disclosed by SUBARU OF SASKATOON and/or its agents or service providers (collectively, the "Dealer") as necessary to obtain credit, financial and related personal information (including a credit or consumer information report) about me from any credit bureau or credit reporting agency, and to advise me on credit availability in connection with vehicle purchase financing. Personal information I provide and credit information obtained may also be retained by Dealer and used to facilitate the application process should I subsequently choose to apply for credit through Dealer.

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Last updated June 19, 2009 4:31 p.m.