First Nations & Metis Automotive Credit Services - #1 in Aboriginal Financing - Guaranteed Approval

First Name Employer  
Last Name Occupation  
Date of Birth Time with Employer    Yrs  Mths
Social Insurance No.  -   -    Gross Income ($)   per month
Address Addit. Income ($)   per month
City Addit. Income Source  
Province Down Payment ($)  
Postal Code  -    Down Payment Right Now?    Yes  No
Home Phone (  -    If "No" Specify Date  
Cell Phone (  -    Trade-In?    Yes  No
Work Phone (  -    Trade-In Year       Make  
E-mail Trade-In Model   Km's  
Status (for tax purposes)
Terms and Conditions
By submitting this application form, you certify that the information you have provided herein is true and correct to the best of
your knowledge. You also authorize the Bank/Auto Dealer to conduct a personal investigation, and by submitting this, you accept
as notice in writing of and authorize the obtaining of any information required that may be relating to this application, from
any source to whom the Bank/Auto Dealer may apply and each source is authorized to provide the Bank/Auto Dealer with information.
In addition, you authorize the Bank/Auto Dealer to disclose, in response to direct inquiries from any other lender or credit
bureau, any information concerning your loan and account that the Bank/Auto Dealer considers appropriate and agreement is
made to release the Bank/Auto Dealer and save it harmless from any claims, damages or otherwise arising from such disclosure
made by the Bank/Auto Dealer.

I Understand and Accept These Terms and Conditions and have read the privacy policy.