Please complete the following application form to apply for finance through Town & Country Motors.
I/we authorise Town & Country Motors* to collect, retain and use the personal information about me/us, for the purposes of:
I/we authorise Town & Country Motors 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 Town & Country Motors to provide this information:
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 1993, I/we have a right of access to information collected by Town & Country Motors about me/us and to request that this information be corrected. The information will be held at the office of Town & Country Motors, 41 Lyon St., Kihikihi, Te Awamutu or the registered offices of any party nominated by Town & Country Motors.
*Town & Country Motors and other associated third parties
To verify your acceptance of the above Privacy act statement please enter the word ACCEPT into the text box below and click the submit button.