Online Application for Finance

Please complete the following application form to apply for finance through Canterbury Wholesale Vehicles.
Note: All fields marked with an asterisk (*) are required to enable us to start processing your application.

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*		Purpose of Loan*
Include cover for a 3 year Mechanical Warranty (motor vehicles only)
Include cover for Lifestyle Protection Insurance

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 Canterbury Wholesale Vehicles* 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 Canterbury Wholesale Vehicles's rights therunder;
Marketing and/or informing me/us about the goods and services provided by Canterbury Wholesale Vehicles

I/we authorise Canterbury Wholesale Vehicles 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 Canterbury Wholesale Vehicles to provide this information:

To any person for the foregoing purposes;
to any employees and agents of Canterbury Wholesale Vehicles 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 Canterbury Wholesale Vehicles about me/us and to request that this information be corrected. The information will be held at the office of Canterbury Wholesale Vehicles, 108 Coleridge Street, Christchurch or the registered offices of any party nominated by Canterbury Wholesale Vehicles.

*Canterbury Wholesale Vehicles 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 all in capitals to continue