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Full Legal Name: *

Phone Number *

Email *

Date Of Birth Day/Month/Year *

SIN Number *

Suit/Unit Number

House Number *

Street Name *

City *

Province *

Postal Code *

Rent/Own *

Rent/Mortgage Payment *

Amount Of Time At Current Address *

Employer Name *

Employer Address *

Employer Phone Number *

Job Title *

Length Of Time At Employer *

Gross Monthly Income *

Drivers License *

Status Card

Desired Vehicle (Year, Make, Model) *

I Consent To a Credit Check *

By proceeding with the application, you consent to Rattlesnake Auto Loans using your information to secure a pre-approval. Your information will be used exclusively for this purpose and will be handled in accordance with Alberta law, ensuring it is properly discarded afterward.