Please complete the following application form to apply for finance through 4S Motors.
Note: All fields marked with an asterisk (*) are required to enable us to start processing your application.
4S Motors* to collect, retain and use the personal information
about me/us, for the purposes of:
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.
to provide this information:
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
about me/us and to request that this information be corrected. The information will
be held at the office of
105 Wairau Rd, Wairau Valley, Auckland
or the registered offices of any party nominated by
*4S Motorsand 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.