^*What type of vehicle would you like to purchase?

^*First Name

Middle Name

^*Surname

^*Date of Birth (DD/MM/YYYY)

^*Address

^*Suburb / City

^*State

^*Postcode

^*Phone

^*Email Address

^*Are you a permanent resident? Yes No

^*Do you have a current drivers licence?
If No, then no further details required to be entered - skip to next section Yes No

^*Are you currently employed?
If No, then no further details required to be entered - skip to next section Yes No

^*Are you a property owner? Please select Purchasing Home Owner Renting Boarding

^*Marital Status Please select Single Married Defacto

^*Any current or previous finance Yes No

Do you have trade-in? Yes No

^*Do you have a deposit? Yes No

^*Are you currently receiving the pension? Yes No

^*Have you been declared bankrupt or discharged within the last 5 years? Yes No

^*Do you agree to a Credit Advantage (CRAA) check? Yes No

^*Any defaults (Paid or Unpaid) Yes No

^*I declare that the name provided above is my current true legal name.

^*I declare that the information given is true and correct.

^*I am over 18 years of age.

^*I am not acting on behalf of a third party.