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EXPRESS Finance Application Form

Please enter all your details in to the fields below to apply for finance through Indy Cars. Once your application is received a consultant will be in contact to work on your application with you.

All fields marked with an asterisk (*) are compulsory fields.


Applicant Information

First Name(s)*

  		Last Name*

 
Date of Birth* (dd-mm-yyyy)

  		Marital Status*

 
Email Address*

    		Drivers License No.

  		Version No.

 
Daytime Phone

  		Mobile Phone*

 
Home Phone

  		Work Phone

 
Home Address

  		Suburb

 
City

  		Postcode

 

Finance Details

Finance Amount*

  		Vehicle Description*

 

Before completing this application it is a requirement that you read and accept the below Privacy Act Statement.

The Privacy Act 1993

I/we authorise Indy Cars* to collect, retain and use the personal information about me/us, for the purposes of:

  • Assessing my/our credit worthiness;
  • Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing Indy Cars’s rights therunder;
  • Marketing and/or informing me/us about the goods and services provided by Indy Cars

I/we authorise Indy Cars to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal, financial and commercial information about me/us for the said purposes.

I/we authorise Indy Cars to provide this information:

  • To any person for the foregoing purposes;
  • to any employees and agents of Indy Cars and/or any other person, in any ordinary course of business, for any of the foregoing purposes;
  • To credit agencies for the purpose of maintaining proper or effective records.

I/we acknowledge that if i/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that pursant to the Privacy Act 1993, I/we have a right of access to information collected by Indy Cars about me/us and to request that this information be corrected. The information will be held at the office of Indy Cars, 380 Moorhouse Ave, Christchurch or the registered offices of any party nominated by Indy Cars.

*Indy Cars and other associated third parties

To verify your acceptance of the above Privacy act statement please enter the word ACCEPT into the text box below and click the submit button.

Type the word ACCEPT to continue