Quick and Easy:

Fill out the form below. We will process your application immediately and our representative will call you back with your options.

Make sure to include all fields that have a red asterisk *
*indicates required field
Customer Information Employment Information
* E-Mail Address: *Place of Employment:
*First Name: *Occupation:
*Last Name: *Street:
Middle Initial: Suite/Apartment:
*Street: *City:
Apartment: *State, Zip:
*City: *Business Phone:
*State, Zip: *Time at Current Employer:
*Home Phone: If less than 5 yrs - Previous Employer:
*Work Phone: *Net Salary:
*Social Security #: Other Income:
*Date of Birth (mm/dd/yy): Gross Monthly Salary:
*Driver's Lic:  
Housing Information
Landlord / Mortgage Holder:
*Rent/Mortgage Monthly Payment:
*Time at Current Residence:

Previous Residence:
(if less than two years at current residence)
Previous Landlord Name
Previous Landlord Phone:
Banking Information:
*Name of Bank / Branch:
Account Types:
Name of Bank / Branch:
Account Types:
Current Loan Information:
Lender:
*Monthly Payment:
Total Debt:
Length of Loan:
Additional Comments
Vehicle Information:
Make of Vehicle Interested In:
Model:
Trim:
Please include any information that you feel may help us process your application.

I have read and understand the Privacy information - located on the subsequent page (Please check box - you will not be able to submit an application without having read and checked this item)
If the item to the left is checked, Major Car Sales Inc. reserves the right to disclose nonpublic personal information to third parties, such as market research firms, direct marketing companies, finance service providers and others who may from time to time seek to provide you information on valuable products or services.
If the item to the left is checked, I direct you not to share nonpublic personal information about me to non-affiliated third parties, except as provided in this Privacy Act.
I am interested in purchasing or leasing a vehicle and request that my Consumer Credit Report be obtained, at no cost to me, in order to help determine the types and extent of financing which may be available to me.