Gandrud Auto Group Home

919 Auto Plaza Drive., Green Bay, Wisconsin 54307-1567 (888) 884-8983
Online Credit Application
Page 1  
Applicant
  Fields marked with * are required.  
 
First Name: * Date of Birth: *
M.I.:     S.S.# * - -
Last Name: *
Drivers License: Number: *  State: *
 
Home Phone: *
Work Phone:    
Cell Phone:    
Email:
 *
How would you like us to contact you:
 *
 
Current Address
 
Street: *
City: *
 State: *
Zip: *
Residence:
  Type? *
  Years? *
  Months? *
  Payment? *
Previous Address(If Less Than 2 Years)
 
Street:
City:
State:
Zip:
Residence:
  Type?
  Years? Months?
  Payment?
Current Employer
 
Name: *
Phone: *
Years? *
Months? *
Type of Employment:





Occupation: *
Salary: Amt: *
 
Previous Employer (If Less Than 2 Years)
 
Name:
Phone:
Term: Yrs: Mons:
Type of Employment:





Occupation:
Salary: Amt?
 
Other Income(Monthly): Source:
 
 
Additional Information that may help during
our review process (maximum 250 characters)
   
 
 
Vehicle Interested In:
 
Trade-In Information:
 
 
Co-Applicant
   and/or
 Marital Status?		 *Not Married-do Not Have A Co-applicant
*Not Married-have A Co-applicant
*Married-spouse Is Co-applicant
*Married-co-applicant Is Not Spouse
*Married-do Not Have Co-applicant
Applicant’s Spouse:
   First:  MI:  Last:
  * * *
 
  Income: Employer: *    
  Additional:    
 
 

Gandrud Auto Group Home

919 Auto Plaza Drive., Green Bay, Wisconsin 54307-1567 (888) 884-8983
Online Credit Application
Page 2  
Co-Applicant
 
First Name: * Date of Birth: *
M.I.:     S.S.# * - * - *
Last Name: *  
Drivers License:
Number: *  State: *
Married? Not Married   Married   
 
 
Co-Applicant’s Spouse:
Name:  First:  MI:  Last:
 
 
Income: Employer:    
  Additional:    
 
Home Phone: *
Work Phone:
Cell Phone:
 
Email:
*
How would you like us to contact you:
 *
Current Address
 
Street: *
City: *
State: *
Zip: *
Residence:
  Type? *
  Years? *
  Months? *
 Payment? *
Previous Address(If Less Than 2 Years)
 
Street:
City:
State:
Zip:
Residence:
  Type?
  Years? Months?
  Payment?
Current Employer
 
Name: *
Phone: *
Years? *
Months? *
Type of Employment:





Occupation: *
Salary: Amt: *
 
Previous Employer (If Less Than 2 Years)
 
Name:
Phone:
Term: Yrs: Mons:
Type of Employment:





Occupation:
Salary: Amt:
Other Income(Monthly): Source:
 
 
 Additional Information that may help during
 our review process (maximum 250 characters)
   
 
 

Approval Information
For the purpose of securing credit from Gandrud AutoGroup, I/We certify that the above information is true and complete to the best of my/our knowledge. I/We further certifiy that I/We have attained the age of majority. Applicant authorizes Gandrud Autogroup to check my/our credit and employment history and to provide and/or obtain information about credit experience with me/us. You(Applicant, and Co-Applicant if applicable) agree that if an account is created for you, all of the following also apply:(a) we(Gandrud Autogroup) may monitor and record telephone calls regarding your account to assure the quality of our service or for other reasons; b)you expressly consent to us using pre-recorded/artificial voice messages, text messages, and /or automatic dialing equipment while servicing or collecting your account as the law allows; (c) you agree that we may take these actions using the telephone number(s) that you provide us in this credit application, you provide to us in the future, or we get from another source, even if the number is for a mobile or cellular telephone and/or our using the number results in charges to you.
*