* First Name:

* Last Name:

* Date of Birth (month/day/year):

* Marital Status: Single     Married     Other

* Tel:

Work Tel:

Cell Phone:

Email:

SIN: (not required but speeds the process)

* Address:

* City:

* Province:

* Postal:

* How long have you been living at this address?

< --- Select --- > 0 Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years More than 10 Years years, < --- Select --- > 0 Months 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months months

Previous Address (if less than 2 years):

City:   Province:

How long did you live at your previous address?

years, months

* Current Employer:

* Occupation:

* How Long: years, months

* Gross Monthly Income

* Monthly Mortgage:

Have you declared bankruptcy in the past 7 years? < --- Select One --- > Yes No

Do you have a co-signer (if necessary): < --- Select One --- > Yes No

* Rate your credit: < --- Select One --- > Excellent Good Fair Poor

Hot Tub Model:

Comments:

* By selecting "I Certify" below, I certify that each of the statements made and answers given in this credit application are true and correct, and that each is made for the purpose of inducing the financing of the purchase vehicle.  I authorize the obtaining of a consumer report to be used in evaluating my credit, and the obtaining and exchanging of credit information from and with other credit consumer reporting agencies.

< --- Select One --- > I Certify I DO NOT Certify