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Moore Automotive & Recreation Credit Application

Required fields have a red border.
Purchase Details:
Department:
Desired Credit Limit:
Desired Payment Term:

How long does this take? Credit decisions can take from 2 minutes to 2 hours from the time we receive your application. Please keep in mind if you are applying for credit after business hours we won't be able to give you a reply until the next business day. We do these things carefully, using humans, common sense and experience — like almost everything else we do around here. This form is encrypted and secure when submitted.

Applicant's Information

Name

 First  Middle  Last
Marital Status:
Please provide two forms of identification from the lists that follow:
ID#1
ID#2

Birth Date

- -

Contact Information

Home Phone  Cell Phone
E-mail

Address

Street
City  
Postal Code
How long have you lived at this current address?
If you have lived at the address above for less than 2 years, please complete the following section with your previous address information:

Previous Address If applicable

Street
City  
Postal Code
How long did you live at this previous address?

Employment & Income Information

Current Employer
Your occupation
How long have you been employed here?
Your gross monthly income
Employer Contact Name
Employer Contact Phone Number

If the length of your current employment is less than 2 years, please complete the following section with your previous employment information:

Previous Employer If applicable
Your previous occupation
How long were you employed here?
Your previous gross monthly income
Previous Employer Contact Name
Previous Employer Contact Phone Number

Self-employment & Income Information

Are you self-employed?
If you are self-employed please provide:
Your Accountant's Name
Accountant's Phone Number

Applicant's Current Vehicle

Make Model Year
Financed By Balance Owing
Monthly Payment
Are you planning to trade this vehicle in?  

Housing Costs

Do you
Rent or Mortgage Payment
Mortgage Payment Frequency
Landlord or Mortgage Holder
Outstanding Mortage Amount  Maturity Date
Purchase Price  Property Value (approx.)

Co-Applicant's Information

What is your relationship to the applicant?

Name

 First Middle Last Name
Please provide two forms of identification from the lists that follow:
ID#1
ID#2

Birth Date

- -

Contact Information

Residence Phone
E-mail

Address

Street
City  
Postal Code
How long has the co-applicant lived at this current address?
If you have lived at the address above for less than 2 years, please complete the following section with your previous address information:

Co-applicant's Previous Address If applicable

Street
City  
Postal Code
How long did the co-applicant live at this previous address?

Employment & Income Information

Current Employer
Your Occupation
How long have you been employed here?
Your gross monthly income
Employer Contact Name
Employer Contact Phone Number

If the length of your co-applicant's current employment is less than 2 years, please complete the following section with your co-applicant's previous employment information:

Your co-applicant's Previous Employer If applicable
Your co-applicant's Previous Occupation
How long was your co-applicant employed here?
Your co-applicant's previous gross monthly income
Your co-applicant's Previous Employer's Contact Name
Your co-applicant's Previous Employer's Contact Phone Number

Self-employment & Income Information

Are you self-employed?
If you are self-employed please provide:
Your Accountant's Name
Accountant's Phone Number

Housing Costs

Do you
Rent or Mortgage Payment
Mortgage Payment Frequency
Landlord or Mortgage Holder
Outstanding Mortage Amount
Purchase Price  Maturity Date

Moore Automotive & Recreation's Privacy Policy

Moore Automotive & Recreation may obtain information about you from applications such as this one, your previous business with us and from consumer reporting agencies.

We do not share information about our customers with anyone except as required by law.

Access to information about you is restricted to those employees of Moore Automotive & Recreation who need to provide products or services to you.

By clicking "Send" below, you submit that you are the "applicant" referred to above and you agree that you have read and accept our policies regarding this application.

How long does it take to get an answer? Credit decisions can take from 2 minutes to 2 hours from the time we receive your application. If you are submitting this form outside our normal business hours we won't be able to give you a reply until the next business day. Your credit is important and we treat it that way. If you have any questions concerning our privacy or credit policies please e-mail credit@mooreautomotiveandrecreation.ca or call us at 902-667-7158 or Toll-free: 1 (866) 577-7158. This form is encrypted and secure when submitted.