03 777 3118
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03 488 3333
699 Kaikorai Valley Road, Burnside, Dunedin 9011
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Please complete the following application form to apply for finance through Carbase Carmart.
Applicant information
First name(s)
required
Last Name
required
Date of birth
required
Drivers license type
required
Drivers License Number
required
Drivers license version number
required
Email address
required
Best daytime phone
required
Mobile phone
required
Home address
required
Suburb
required
City
required
Postcode
required
Years lived at address
required
Marital status
required
Please select an option
Single
Married
Employment type
required
Please select an option
In full time employment
In part time employment
Self employed
Unemployed
Finance details
Finance amount
required
$
Vehicle description
required
Cash deposit
required
$
Trade-in value
$
Preferred term
required
Please select an option
12 months
24 months
36 months
The privacy act
I/we authorise Carbase Carmart* to collect, retain and use the personal information about me/us, for the purposes of:
Assessing my/our credit worthiness;
Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing Carbase Carmart’s rights thereunder;
Marketing and/or informing me/us about the goods and services provided by Carbase Carmart
I/we authorise Carbase Carmart to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal,
financial and commercial information about me/us for the said purposes.
I/we authorise Carbase Carmart to provide this information:
To any person for the foregoing purposes;
to any employees and agents of Carbase Carmart and/or any other person, in any ordinary course of business, for any of the foregoing purposes;
To credit agencies for the purpose of maintaining proper or effective records.
I/we acknowledge that if I/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we
further acknowledge that pursuant to the Privacy Act 2020, I/we have a right of access to information collected by Carbase Carmart about me/us and to request that
this information be corrected. The information will be held at the office of Carbase Carmart, 510 Kaikorai Valley Road, Dunedin or the registered offices of any party
nominated by Carbase Carmart.
*Carbase Carmart and other associated third parties
I accept the above privacy statement
required
Please select an option
Yes I accept
Submit
Home
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Hatchbacks
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