Are you over 19?
Is the vehicle free and clear of all financial obligations?
Are you the sole owner of the vehicle?
No:name of other?
How much cash do you require? in $
How long do you require the loan for?
1 Year2 Year
Insurance Registration No:
Any damage in excess of $2,000.00, or has a rebuilt Engine?
Is there collision insurance coverage on the vehicle?
How much is the collision deductible? (in $)
Insurance Expiry Date:
Driver's License Number:
BC / AB:
Date of Birth:
Address if different from yours:
Preferred Monthly Payment Method
---Automatic WithdrawalDirect Bank DepositEmail Transfer