Application

City & State *

*Note*

We do not finance equipment listed. There are links on the Dirt Division page to finance companies.

Employer Name & Address *

Comments

Phone

Date of Birth: *

Name:

Social Security # *

Address *

Landlord/Mortgage Company Name and Phone Number:

Length of time at previous job:

Residence Type

Drivers License # and State Issued *

Name: *

If you have lived at your current residence less than a year, please enter your previous address

Mortgage/Rent Payment Monthly *

Email: *

Other Sources of Income

If you have been at your job less than one year please list previous job

Length of Time Employed *

Name:

Length of Time at Residence *

FALL CREEK MOTORS

Great Deals on Nice Wheels!

Fall Creek Motors may give information about you to a credit reporting agency to obtain a consumer credit report about you and/or allow the credit reporting agency to create or maintain a credit information file containing information about you. This information may include the details given by you on this form (including your driver’s licence number). This disclaimer applies whether or not your application for credit is approved.

Gross Monthly Income *

Return/Cancellation Policy:For questions or concerns regarding a refund or cancellation on a recent payment, please call our office at 417-335-4499 or email us at fcminc@hotmail.com.

Privacy Policy: Fall Creek Motors only collects personal information when you request our services and only uses the information collected to provide these services to you. If you choose to make a purchase, you will be asked to provide contact information (such as name and shipping address) and financial information (such as credit card number and expiration date.) This information is used for billing purposes and to process your order. Fall Creek Motors handles all of this information with the utmost confidentiality. Third parties- All information collected will not be traded, rented, sold, or otherwise shared with anyone outside of Fall Creek Motors or used for reasons beyond those contemplated in this statement. From time to time, we may use third parties to process your information on our behalf; however, none of Fall Creek Motors affiliates (such as our credit card company) have permission to retain, share, store, or use personal information for any reason other than providing the requested service. To prevent unauthorized access, disclosure, and improper use of your information, we have established appropriate physical, electronic, and managerial safeguards to protect the information we collect in accordance to our privacy policy.

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Great Deals on Nice Wheels!