Lakeshore RVLakeshore RV    
RV Dealer To The World    
*Toll Free 1-231-788-2040 or 888-743-8278    
HomeNew RVsUsed RVsPartsDeliveryFinanceFeedback
Search

Customer Credit Application

Please put what Type and Model of RV you are trying to purchase.  

If you have been working with one of our staff select a name or skip to the next field.
Send To

Applicant Name

First*
Last*
Address 1
Address 2
City
State/Province
Postal Code For faster delivery use 9 digit postal codeLook Up Here
Country
Home Phone
Work Phone
E-Mail*
Username*
Social Sec. # *
Drivers Lic. #
Dependants
County
Date Of Birth (mm/dd/yyyy)

EMPLOYER

Name: Occupation:
City: State/Province:
ZIP Code: Time On Job (YR.): years
Phone: Salary (Annual) $:
Source Of Other Income: Amount (per Month) $:

CREDITOR INFORMATION

Landlord or
Mortgage Holder:		 CREDITORS PAYMENT
Mortgage or Rent (Monthly) $: 1. 1.
Personal Bank: 2. 2.
Account Type: Checking Savings Both 3. 3.
Have You Ever Filed for Bankruptcy? YES NO   Do You Pay Child Support Or Allimony? YES NO  

JOINT APPLICANT


Joint Applicant Name

First
Last
Address
City
State/Province
Postal Code For faster delivery use 9 digit postal codeLook Up Here
Country
Home Phone
Work Phone
Social Sec. #*
Drivers Lic. #
Date Of Birth (mm/dd/yyyy)

JOINT APPLICANT EMPLOYER

Name: Occupation:
City: State/Province:
Postal Code: Time On Job (YR.): years
Phone: Salary (Annual) $:
Source Of Other Income: Amount (per Month) $:
Have You Ever Filed for Bankruptcy? YES NO Do You Pay Child Support Or Allimony? YES NO

TELL US WHAT YOUR INTERESTED IN BUYING

I/We CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND COMPLETE
TO THE BEST OF MY/OUR/ KNOWLEDGE

   


[ Send to a Friend]
Use of this Web site constitutes acceptance of the User Agreement and Privacy Policy.
HOME | NEW RVS | USED RVS | PARTS | DELIVERY | FINANCE | FEEDBACK
Ebay Power SaleRVIARVDAGo RvingBest Data