LOAN APPLICATION

HOW YOU FOUND US

Where did you hear about us? ^*

YOUR CONSENT

Please be honest with the information you give us, if the information you give us is incorrect we will NOT be able to process your application.

I confirm that Camper Trailer Finance can contact me about my loan application.

Contact Telephone^*

E-mail^*

I acknowledge that a Privacy Consent Form will be sent to me authorising Camper Trailer Finance to act on my behalf. Upon receipt of the returned document we can then process your application.Click Here

CURRENT ADDRESS

Postcode^*

Address^*

Time at Address^*

QUALIFYING QUESTIONS

Are You Over 18 ?^*
YesNo

Employment Status^*

LOAN DETAILS

Purpose of the Loan^*

Loan Amount^*

Supplier of Camper Trailer^*

YOUR PERSONAL DETAILS

Title^*
Mr.Mrs.

First Name^*

Last Name^*

Date of Birth^*

Drivers License Number^*

What state was it issued in^*

PLEASE ENTER A HOME OR MOBILE TELEPHONE NUMBER

Home Phone

Mobile Phone (So we can SMS updates)

Number of Dependents^*

Joint Application?
YesNo

Marital Status^*
SingleMarriedDefactoPartner

YOUR EMPLOYMENT DETAILS

Employment Type^*

Job Title^*

Monthly Income Net

Employer Name^*

Employer Address

Time in Job^*

Pay Frequency^*

FINANCIAL DETAILS

Do you have any credit defaults paid or unpaid?

Do you have any other loans?

If so with what lending institution?

Do you have any credit cards?

If so what is your total limit?

Monthly Expenses

Food & Beverages^*

Fuel & Power (Gas, Electricity)^*

Communications (Cable, Internet)^*

Clothing & Footwear^*

Medical & Health^*

Transport^*

Recreation^*