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REPAIR FINANCING APPLICATION

Full Name

Email Address

Phone Number

Residential Address

Customer Information

VIN Number

Year, Make & Model

Current Odometer Reading

License Plate

Vehicle Information

Is there a current lien or loan on this vehicle? (Yes / No)

Existing Liens or Loans

4.99% rate, weekly payments only. 3 or more late payments may result in repossession, subject to the laws and regulations of British Columbia, Canada.

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