Please fill out the form below to help us gather some information about you in order to pre-approve
you before your visit to Willingboro RV and Used Car Center.
Please note: Although it is most unlikely that you will experience any problems responding to this form, certain
non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a
forms-capable browser), you may e-mail your completed response to: sales@willingrv.com.

Personal Information:
 

APPLICANT


Last Name: First Name:   Middle Initial:

Social Security Number: -- Birth Date: -- MM/DD/YYYY

 Drivers License Number: State:

Current Address:

City:   State:   Zip: -

Length of Residence - Years:   Months:

Daytime Phone Number: --  Evening Phone Number: --

Landlord/Mortgage Holder: Monthly Payment: $

Previous Address:

City:   State:   Zip: -

Length of Residence - Years:   Months:

Name of nearest relative not living with you:

Address, City, State, & Zip:
 

Name of another relative not living with you:
 

Address, City, State, & Zip:
 


 Employment Information:

Current Employer: Monthly Income (Gross): $

Employer Address:

City:   State:   Zip: - Length of Employment - Years:   Months:

Business Phone: --   Trade or Occupation:

Previous Employer: Trade or Occupation:

City:   State:   Zip: - Length of Employment - Years:   Months:

 

 

CO-APPLICANT

 


Last Name: First Name:   Middle Initial:

Social Security Number: -- Birth Date: -- MM/DD/YYYY

 Drivers License Number: State:

Current Address:

City:   State:   Zip: -

Length of Residence - Years:   Months:

Daytime Phone Number: --  Evening Phone Number: --

Landlord/Mortgage Holder: Monthly Payment: $

Previous Address:

City:   State:   Zip: -

Length of Residence - Years:   Months:

Name of nearest relative not living with you:

Address, City, State, & Zip:
 

Name of another relative not living with you:
 

Address, City, State, & Zip:
 


 Employment Information:

Current Employer: Monthly Income (Gross): $

Employer Address:

City:   State:   Zip: - Length of Employment - Years:   Months:

Business Phone: --   Trade or Occupation:

Previous Employer: Trade or Occupation:

City:   State:   Zip: - Length of Employment - Years:   Months:



Financial Information:

I am interested in: Buying   Leasing           I am interested in a/an: Automobile  RV

I am interested in a New Vehicle  Used Vehicle          I have a vehicle to trade: Yes  No

Price Range:

Down Payment:

Please enter any additional information or comments here to include trade in information and details:

By submitting this form, I authorize a check to be run on my credit report: Yes  No

I authorize that the above information is true and correct to the best of my knowledge:

Signature(s):   Date:        

 

Sales Hours: Monday - Wednesday: 9:00 AM to 5:00 PM
Thursday: 9:00 AM to 5:00 PM
Friday & Saturday: 9:00 AM to 5:00 PM
Contact our sales department for more information at sales@willingrv.com
Willingboro RV  Center
Route 130 South
P.O. Box 187
Willingboro, NJ 08046		 Phone: 609-877-9200
Toll-Free: 888-869-4242
Sales Fax: 609-877-9206