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Yamaha Revs Your Heart



Welcome to our Online Credit Application form!

PLEASE READ:
 1. This Application is for California residents ONLY - You will need to come in to our store to complete the application process
If you are not in California - Find your closest dealer HERE

 2. It is REQUIRED we have 2 forms of ID - Copy of Drivers License and 1 other to complete the application process

Please fill out the form and click send when finished. Our staff will contact you ASAP.


In order to match you to the best promotion possible, let us know what you are interested in:


Which Model are you interested in?


Applicant

 Drivers License Number

 License State

 First Name

 Middle Initial

 Last Name

- -  Social Security Number

/ /  Birthdate MM/DD/YY

Mailing Address

 Street Address
 Apartment or Unit
 City
 State
 Zip
 Home Phone  

 Date of Residence MMDDYY

 Monthly Housing Payment

 Own  Rent  Other

 Email Address  

Income

 Annual Income (gross)

 Full Time   Part Time
 Self Employed    Other

 Employer

 Date of Employment

 Work Phone

NOTE: Alimony, child support or separate maintenance income need not be disclosed if you do not wish it to be considered as a basis for paying this obligation


Joint Applicant

 Drivers License Number

 License State

 First Name

 Middle Initial

 Last Name

- -  Social Security Number

/ /  Birthdate MM/DD/YY

Mailing Address

 Street Address
 Apartment or Unit
 City
 State
 Zip
 Home Phone

 Date of Residence MMDDYY

 Monthly Housing Payment

 Own  Rent  Other

 Email Address

Income

 Annual Income (gross)

 Full Time   Part Time 
 Self Employed    Other

 Employer

 Date of Employment

 Work Phone

NOTE: Alimony, child support or separate maintenance income need not be disclosed if you do not wish it to be considered as a basis for paying this obligation


Anti-Spam Question: Is fire hot or cold?


I certify that all of the information I have provided on the Application is true and complete. I agree I am furnishing my application to Yamaha of Cucamonga (YOC) and their financing partners for credit consideration under the currently available financing programs. If I am approved for financing I will be required to execute an agreement for any such financing at YOC, in person. I authorize YOC and their financing partners, as applicable, to provide information about my Application and my account for its use in marketing products and services to me. YOC and their financing partners are authorized to verify the information I provided on the Application and obtain credit bureau reports. I agree that I am not applying for any specific credit amount and if I am approved, I will receive an approval regardless of the specific credit limit for which I am approved. By sending this Application, I acknowledge I have read and agree to these terms.