Credit Application

If you're looking for financing for your new or pre-owned vehicle please fill in the form below and one of our sales professionals will be in contact with you as soon as possible. If you have questions please call us at (506) 622-9020 or by email at inquiries@townefordnb.com. Thank You.

Full name & middle initial:

Email address:

Date of birth (dd/mm/yy):

Marital Status:

Number of Dependents:

Home Phone:

Work Phone:

Full address:

Postal code:

How long have you lived at this address?:

2nd address if less than three years:

Do you rent or own your home?:

Monthly payment/include mortgage holder or landlord:

Your home value:

Employer:

Occupation:

Time with present employer:

Gross monthly income:

2nd employer if less than 3 years / include occupation & gross monthly:

Which vehicle are you interested in?:

Is there a co-applicant?:

yes

no

Name of co-applicant:

Notes / Comments:

Location

2227 King George Highway
Miramichi, NB E1V 6N1
Phone: (506) 622-9020