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Internet Sales Call: (866) 578-7989
Main Telephone: (706) 638-1662
Highway 27 North , Lafayette, GA, 30728  |  Map

Easy Financing Approval

Good credit, bad credit or no credit? We are your financing specialists. Just fill out our secure online credit application and get pre-approved for your vehicle. We work with a wide variety of financial institutions so we have programs for all credit levels.


Required fields marked with *.
Need Assistance?


Internet Sales Manager
Larry Miller
APPLICATION TYPE
 
What kind of Application is this?:
Single Applicant     Joint Applicants

Note: By selecting joint applicants you must complete the information for both yourself and your joint below.


PERSONAL INFO
 
 
First Name:*
Last Name:*
Middle Name:
Date of Birth (XX-XX-XXXX):*
Social Security #:*
Day Time Phone:*
Evening Phone:*
Email Address:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip:*
Primary Applicant
 



  









HOUSING INFO
 
 
Do You Rent or Own Your Home?:*
Lived There Since?:*

If less than 2 years, previous address?
Monthly Payment / Rent:*
Primary Applicant
 
Rent         Own



EMPLOYMENT INFO
 
 
Employer Name:*
Job Title:*
Worked There Since:*

If less than 2 years, previous place of employment?
Gross Monthly Income (before taxes):*
Additional Income Source:
Additional Gross Monthly Income:
Primary Applicant
 







PURCHASE INFO
 
Purchase Type:*
Purchase Year:*
Purchase Make:*
Purchase Model:*
Will You Have a Trade-In?:*
Trade-In Year:
Trade-In Make:
Trade-In Model
Trade-In Mileage (Approximate):
 
New Auto Purchase         New Auto Lease         Used Auto Purchase



Yes         No
 


PRIVACY STATEMENT
Please review the following privacy statement before submitting your application:

Guiding Principles:

In connection with your transaction, Jenkins Chrysler Dodge Jeep may acquire information about you as described in this notice, which we handle as stated in this notice.


We may collect personally identifiable information such as name, postal address, telephone number, e-mail address, social security number, date of birth, etc This personal information is collected and used by Jenkins Chrysler Dodge Jeep staff for the purpose of facilitating a relationship or business transaction.


Our website resides behind a firewall and uses SSL (Secure Sockets Layer, the industry-standard security protocol used to communicate with browsers) to transmit personal information. Data is strongly encrypted during transmission to ensure that personal and payment information is secure. Industry-standard data encryption techniques are used to protect personal information on our servers. SSL-capable browsers typically have a symbol on the browser window to indicate when they are in a secure mode. In addition, the URL will begin with "https:" for all browsers.


Jenkins Chrysler Dodge Jeep does not sell, rent or disclose e-mail addresses to other organizations.

I am interested in purchasing or leasing a vehicle and request that my Consumer Credit Report be obtained, at no cost to me,
in order to help determine the types and extent of financing which may be available to me:
I Agree         Disagree

SECURITY CODE


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