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Welcome To Main Motorsports!

Consumer Credit Application


Applicant personal information:

Name:
Last Name:
Email Address:
Sex:
Date of Birth:
Home Phone:
Cell Phone:
Social Insurance Number:
Credit Card Number: (excluding expiry date)
Address:
City:
Province:
Postal Code:
At Residence Since:
Residence Type:
Monthly Residence Cost:
Employer Name:
Employment Start Date:
Occupation:
Business Phone:
Annual Employment Income
Employment Status: Employed
Retired
Commission Sales
Self-Employed
Student
Other
Amount To Be Financed: (do not include taxes)
Current Date:
Checking this box indicates your signature in applying for a Kawasaki Credit Account as well as confirming all information given in this application is complete and accurate.