CREDIT REQUEST FORM

Please fill out the form below and send to Hawley's RV for a credit pre-approval.

FIRST NAME: *	LAST NAME:*	SPOUSE'S FIRST & LAST NAME: (IF NONE, ENTER NONE)*
STREET ADDRESS*		HOME OR CELL PHONE #*
CITY:*	STATE:*	ZIP CODE:*
TYPE OF RV INTERESTED: (MOTORHOME, TRAVEL TRAILER, 5TH WHEEL, OR POP-UP)*	BRAND NAME: (FLEETWOOD, KEYSTONE)	LENGTH OF RV:
PRICE RANGE "COMFORT ZONE" (I.E. $25,000)*	MONTHLY PAYMENT "COMFORT ZONE" (I.E. $300 TO $350)*	DOWN PAYMENT "COMFORT ZONE" (I.E. $2,000 TO $4,000)*
DO YOU OWN AN RV NOW? (YES OR NO)*	IF YES, PLEASE ENTER YEAR, MAKE, MODEL, & MILEAGE IF MOTOR HOME:
IS THERE A PAYOFF? (IF YES, ENTER AMOUNT)*	WHO IS THE PAYOFF TO? (NAME OF BANK OR FINANCE COMPANY)*
WHERE ARE YOU EMPLOYED?*	HOW LONG HAVE YOU BEEN EMPLOYED THERE?*	WHAT IS YOUR MONTHLY GROSS INCOME?*
DO YOU OWN YOUR OWN HOME? (YES OR NO)*	WHO IS THE MORTGAGE COMPANY?	WHAT IS YOUR MONTHLY PAYMENT?*
IF YOU ARE RENTING ENTER NAME OF COMPLEX (I.E. GREEN GARDENS APTS.)	WHAT IS YOUR MONTHLY RENT?
IF YOU'RE INTERESTED IN A SPECIFIC HAWLEY'S RV WHAT'S THE STOCK #?	IF YOU ARE LOOKING FOR A "TOWABLE" ENTER THE YEAR, MAKE, & MODEL OF YOUR TOW VEHICLE: (I.E. 2007 FORD F250)	ENTER THE MFG'S "TOW CAPACITY" (I.E. 6500 lbs.)
YOUR SOCIAL SECURITY NUMBER:*	IF YOUR SPOUSE IS TO BE INCLUDED, ENTER HIS/HER SOCIAL SECURITY NUMBER:
YOUR BIRTH DATE:*	IF YOUR SPOUSE IS TO BE INCLUDED, ENTER HIS/HER BIRTH DATE:
YOUR DRIVER'S LICENSE NUMBER:	YOUR DRIVER'S LICENSE STATE:	YOUR DRIVER'S LICENSE EXPIRATION DATE:
IF YOUR SPOUSE IS TO BE INCLUDED, HIS/HER DRIVER'S LICENSE NUMBER:	HIS/HER DRIVER'S LICENSE STATE:	HIS/HER DRIVER'S LICENSE EXPIRATION DATE:
E-MAIL ADDRESS*
I CONFIRM THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT. I UNDERSTAND & AUTHORIZE HAWLEY'S CAMPING CENTER TO PROCESS THE INFORMATION PROVIDED WITH CREDIT REPORTING AGENCIES IN ORDER TO INVESTIGATE MY CREDIT & EMPLOYMENT HISTORY. I ALSO UNDERSTAND THIS IS A "PRELIMINARY CREDIT APPLICATION" AND THAT AN ACTUAL "CREDIT APPLICATION" USED FOR PURCHASE MUST BE COMPLETED AT THE DEALERSHIP WITH THE BUSINESS MANAGER. APPROVAL FOR CREDIT IS BASED ON LENDER CRITERIA AND NOT ALL CUSTOMERS WILL QUALIFY.*	FOR SECURITY PURPOSES, WHAT IS YOUR MOTHER'S MAIDEN NAME?*








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