505 City Boulevard
•
Waycross, GA 31501 Phone (912) 338-8422
•
Fax (912) 338-8424
Financing
Year
2008
2007
2006
2005
2004
Category
ATV
Ranger
New
Used
Make
Model
Additional Info (Color, Accessories, Etc)
Cash down payment
Name:
*
First
MI
*
Last
*
Date of Birth
*
Social Security #
Driver License #
Exp.
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
*
Address
*
City
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
*
Zip
*
Years at current address?
*
Residential Status
Rent
Own
*
Monthly Rent or Mortgage Payment
*
Mortgage Holder/Landlord Name
Home Phone #
Cell Phone #
E-mail Address
Marital Status
Married
Separated
Divorced
Domestic Partners
Single Parent
Unmarried
# of dependants
Previous Address:
(If current less than 3 years)
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip
# of years at previous address
Are you self employed?
Yes
No
Employer
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip
Work Phone #
Length of Employment:
Years
Months
Occupation
Gross Monthly Income
(Pre-Taxes)
** Other Income
** Other Income
**
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Okefenokee Cycle Center is committed to adhering to privacy principles and requirements in compliance with all applicable laws. It is our policy to safeguard all individually identifiable information entrusted to us. Use of this information enables us to provide you with superior customer service and offer products, programs, and services that may be of interest to you. We have developed this privacy notice to explain to you our practices regarding individually identifiable information. What information does this privacy notice cover? This Privacy Notice applies to the practices of Okefenokee Cycle Center, with respect to the individually identifiable information we collect about you in connection with assisting you in obtaining financing when you use the finance application on our web site. What information do we collect when applying online for vehicle financing/pre-approved credit? If you choose to submit an application to Okefenokee Cycle Center for pre-approved credit, we will need specific personally identifiable information to assist you in obtaining financing. To process your requests for financing, we collect individually identifiable information that may include: name, address, e-mail address, telephone number, fax number and Social Security number. In addition, we collect credit-related data, such as information you provide on our loan applications or other forms (including assets, income, etc.), and information we receive from consumer reporting agencies. This information will be provided to select third party lenders or financial institutions in an attempt to assist you in securing credit. How do we use the information we collect about you? Our goal is to effectively manage your entire relationship with us, our service providers, and finance companies. To this end, we may use information about you to fulfill your requests for financing, special factory programs and related services; to respond to your inquiries about our offerings; and to offer you other products, programs, or services that we believe may be of interest to you. We sometimes use this information to communicate with you, such as to contact you about your loan account with us or to provide you with important product or service information. We will share the information we collect about you with outside companies that offer financing, e.g., vendors assisting us with servicing your accounts and products. There may be instances where we will disclose individually identifiable information as permitted by law, including, but not limited to, a response to a court order or subpoena to prevent fraud, to comply with law, and to comply with a legally permitted inquiry by a government agency. Additionally, in the event that all or any part of our dealership is sold to a third party, we may transfer individually identifiable information to the third party buyer as part of the assets of the business. How do we protect and secure our customer information? We maintain appropriate physical, electronic, and procedural safeguards that comply with federal regulations to guard your individually identifiable information. For example, we utilize segregation of duties, passwords, and have in place a detailed suite of policies covering various aspects of customer information protection. Our employees have access to customer information for authorized business purposes only and such access is based on the sensitivity of the information and our employee's need to know. Our web site databases are all secured using the latest encryption technology. How can you correct inaccuracies in your information? You can review and correct factual errors in your individually identifiable information that is maintained in our computer systems, and that we retrieve during the ordinary course of business. To do so, simply send a written request to us at the address indicated on our web site. To protect your privacy and security, we will take reasonable steps to verify your identity before granting access or making corrections. How does this privacy notice relate to your online interaction with us? Most of your online interaction with us will be through our Finance Application Web pages that are part of our larger Web site. This privacy notice applies only to your interaction with us using the online Finance Application on our Web Site. It does not apply to your interaction with any other part of the Okefenokee Cycle Center Web site. In addition, the protection of your information may not be assured when you communicate with us via e-mail as others outside of our dealership may gain access to it without proper authorization. Do We Use Cookies Online? Our site uses a standard Web browser feature or Internet http header (known as "cookies") throughout our Web pages to assist us in improving your Web experience. Cookies, by themselves, do not provide individually identifiable information unless you choose to provide this information by, for example, registering with us. Once you choose to furnish us with individually identifiable information, this information may be linked to the data stored in the cookie. We use cookies to understand the usage of our Web pages and to improve their content and offerings. We may use cookies to save your password in password-protected areas, or enable you to use shopping carts. What happens when you leave our Web pages to go to other Web pages? To improve your Web experience, and to offer you products in which you might be interested, we may provide links to other third-party sites. Because we do not control these sites, you are encouraged to review their individual privacy notices. What happens if I am no longer a customer of Okefenokee Cycle Center? If you end your customer relationship with us or become an inactive customer, we will continue to treat the information we have about you consistent with this Privacy Notice. Who do I contact if I have any questions about this notice or your privacy practices? If you have any questions or concerns about this privacy notice or our privacy practices, you may contact us by writing to: Okefenokee Cycle Center 505 City Blvd. Waycross, G.A. 31501
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I agree with the above privacy statement.
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