Pre-Approved Credit Application Form
Pivacy statement: West Coast Auto Group is dedicated to protecting our customers privacy. Any information is on a voluntary basis. Information provided is for internal use only. We do not sell, rent or transmit personal information to other organizations.
Contact information
* First Name Middle Name * Last Name
Street City Province
Postal Code * Phone (with Area Code) * Email
Valid email or your request will not be sent

Employment Information
Employer Name How Long? Occupation:
Work Phone Gross Monthly Income Other Monthly Income
Have you ever declared bankruptcy? Yes No
If yes when have you been discharged?
Can you do monthly payments with ICBC? Yes No
Do you do owe any money to ICBC? Yes No
 
Sales: Open Mon-Thu 9am to 9pm | Friday 9am to 6pm. | Saturday 9pm to 6pm. | Sunday 11pm to 5pm
Service & Parts: Hours Mon-Fri 8am to 5pm | Sat 8am to 5pm | Closed Sunday
West Coast Auto Group