Hours of Operation
Tuesday - Friday 9am-6pm
Sunday and Monday Closed
*Date of Birth
* Social Security/Social Insurance Number
*Driver's Lic. No.
Number of Dependents
*Years Lived at Current Address
Last Address if Less then 2 Years
*Work Phone No.
*Relative Name(Nearest but not living with you)
*Relative Phone No.
*Relative Relation (Mother, Father, etc.)
*Reference Phone No.
*Monthly Rent or Mortgage Payment
Credit Card Type(Visa, Mastercard,etc).
Has any party to this application been the subject of, or is subject to, any bankruptcy proceedings?
Has applicant or spouse ever obtained credit under a different name?
Have you or your spouse ever had a vehicle reprossessed?
Have you applied for credit with us in the last 90 days?
Have you applied at a different dealer in the last 90 days?
Salesperson you spoke with?
Intended model you would like to purchase?
How much Money down?
If you are going to have someone co-sign for you then please have them also complete one of these applications and provide the name of the person they are co-signing for.
Name of person you are co-signing for.
This information is warranted to be true and is given for the purpose of obtaining credit for purchases
from PowerSports of Vallejo, Inc
By submitting this application, I am providing the same assurances as I would by
signing a paper document.
* Required Information