Giroux Chrysler Dodge Jeep RAM | Auto Financing and Credit in Ste-Agathe-des-Monts, near Saint Jérôme and Blainville

Lead: Request for financing

Hello,

A prospective client who has visited your site would like to request financing for one of your vehicles:

Type of request: {$DEMANDTYPE}

Information on the vehicle of interest:
Make: {$EMAILMAKE} {$EMAILMODEL} {$EMAILYEAR}
Ext. Color: {$COLOREXT}
Stock Number: {$STOCKNUMBER}
Body Type: {$VEHICLE_PREF_BODYTYPE}
Drivetrain: {$VEHICLE_PREF_DRIVETRAIN}
Fuel Type: {$VEHICLE_PREF_FUELTYPE}
Specific Makes or Models: {$VEHICLE_PREF_MAKEMODEL}
Colour Preference: {$VEHICLE_PREF_COLOR}

Information on the applicant:
Name: {$FIRSTNAME} {$LASTNAME}
Email: {$EMAIL}
Phone: {$HOMEPHONE} {$PHONE_VALIDATION_ATTEMPTS}
Phone (alternate): {$CELLPHONE}
{$MAX_BUDGET} Driver's license number: {$DRIVINGLICENSENUM}
Expiry date:?{$LICENSEEXPIRYDATE}
Date of birth: {$BIRTHDAY}
Social Insurance Number: {$SIN}
Marital Status: {$MARITALSTATUS}
Has declared bankruptcy: {$BANKRUPTCY}
Date of discharge: {$DATERELEASE}

Current address:
{$CURRENTADDRESS}
{$CURRENTCITY}, {$CURRENTPROVINCE}
{$CURRENTPOSTALCODE}
Type of residence: {$CURRENTRESIDENCETYPE} ({$CURRENTOWNERORRENT}) since {$CURRENTOCCUPATIONLENGTH}
Mortgage or monthly rent: {$CURRENTMONTHLYRENT}
Name of owner: {$CURRENTOWNERNAME}
Mortgage balance: {$CURRENTMORTGAGE}
Market value of home: {$CURRENTHOMEVALUE}

Previous address:
{$LASTADDRESS}
{$LASTCITY}, {$LASTPROVINCE}
{$LASTPOSTALCODE}
Type of residence: {$LASTRESIDENCETYPE} ({$LASTOWNERORRENT}) since {$LASTOCCUPATIONLENGTH}
Mortgage or monthly rent: {$LASTMONTHLYRENT}
Name of owner: {$LASTOWNERNAME}
Mortgage balance: {$LASTMORTGAGE}
Market value of home: {$LASTHOMEVALUE}

Current occupation:
Occupation: {$CURRENTOCCUPATION}
Name of employer: {$CURRENTEMPLOYERNAME}
Type of business: {$CURRENTCOMPANYTYPE}
Employer phone number: {$CURRENTCOMPANYPHONE}
Since: {$CURRENTJOBLENGTH}
Annual Salary: {$CURRENTSALARY}
Type of salary: {$CURRENTSALARYTYPE}

Previous occupation:
Occupation: {$LASTOCCUPATION}
Name of employer: {$LASTEMPLOYERNAME}
Type of business: {$LASTCOMPANYTYPE}
Employer phone number: {$LASTCOMPANYPHONE}
Since: {$LASTJOBLENGTH}
Annual Salary: {$LASTSALARY}
Type of salary: {$LASTSALARYTYPE}

Credit bureau enquiry?allowed:?{$CREDITBUREAUCHECK}

Comments from the client:
{$QUESTIONS}


{$DEALER_SENDTO}

Consent: {$CONSENT_DETAILS}{$PURCHASE_INTENT}