BFD Moto Financing Application

Complete the secure online credit application below and our finance team will contact you within 1 business day.

* These fields are required

Buyer Personal Information Driver's License # Driver's License Expiry Salutation Legal First Name * Middle Name Last Name * Gender Marital Status Date of Birth Social Insurance # Address City Province/State Postal Code How long at this address? Email* Contact Phone #1* Contact Phone #2

Employment Information Employer Employer address City Postal Code Position / Department How long at this employer? Gross monthly income

Residence Information Residential Status Rent / Mortgage

per month

What do you want to buy? Year Manufacturer Model Type
Manufacturer Suggested Retail Price Sale Price Options Freight Dealer Preparation (PDI) Tire Tax Levy

Do you have a trade-in?: Yes

Other Information Down Payment Range

From

up to

Monthly Payment Desired

From

up to

Notes

Application Agreement

I hereby certify that the information I have given on this form is true and correct. I am applying for a loan from the Seller to purchase a chattel as described in the Seller's bill of sale. The Seller will be referring this application to a Financial Institution because the Seller intends to assign this loan to the Financial Institution, if my loan is approved.

I GRANT BFD MOTO PERMISSION TO OBTAIN A CREDIT REPORT ON ME FOR ALL LEGITIMATE PURPOSES IN CONNECTION WITH THIS TRANSACTION. I ACKNOWLEDGE THAT THE SELLER AND THE FINANCIAL INSTITUTION MAY FROM TIME TO TIME GIVE ANY CREDIT AND OTHER INFORMATION ABOUT ME, INCLUDING ANY INFORMATION ON THIS FORM, TO, OR RECEIVED SUCH INFORMATION FROM: (A) ANY CREDIT BUREAU OR REPORTING AGENCY; (B) ANY PERSON WITH WHOM I HAVE OR PURPOSE TO HAVE FINANCIAL DEALINGS; AND (C) ANY PERSON IN CONNECTION WITH ANY DEALINGS I HAVE OR PROPOSE TO HAVE WITH THE DEALER OR FINANCIAL INSTITUTION.

I agree that the Financial Institution may use the information to establish and maintain my relationship with it and to offer me any services as permitted by law. I also hereby give BFD Moto and BFD Moto affiliates express consent to communicate with me regarding existing transactions and or future loan and insurance opportunities. This consent for communication extends to all communication methods including electronic delivery of messages, including email and SMS.

I agree to the statement above.