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High Octane Motorsports
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18
Questions
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1
What kind of Product are you looking for?
Vehicle
ATV / Quad
Side by Side
Dirtbike
Street Bike
Snowmobile
Travel Trailer
Utility Trailer
Boat
PWC / Sea-doo
Lawn Tractor
Commercial Equipment
Farm Equipment
Vehicle
ATV / Quad
Side by Side
Dirtbike
Street Bike
Snowmobile
Travel Trailer
Utility Trailer
Boat
PWC / Sea-doo
Lawn Tractor
Commercial Equipment
Farm Equipment
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2
Name
*
This field is required.
First Name
Middle Name
Last Name
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3
Phone Number
*
This field is required.
Please enter a valid phone number.
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4
Email
example@example.com
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5
Date of Birth
*
This field is required.
-
Date
Year
Month
Day
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6
Address
*
This field is required.
Street Address
Street Address line 2
City
Province
Postal Code
How long have you had this address?
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7
Address
If you address is under two years, please add a second address
Street Address
Street Address line 2
City
Province
Postal Code
How long have you had this address?
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8
Do you Rent or Own? and Monthly Payment?
*
This field is required.
Rent
Own w/ Mortgage
Own Free / Clear
Band Housing
Live w/ Family
Rent
Own w/ Mortgage
Own Free / Clear
Band Housing
Live w/ Family
Type of Housing
Monthly rent or mortgage payment?
If you own, Whats the estimated market value?
Current Mortgage balance?
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9
Marital Status
*
This field is required.
Single
Separated
Common Law
Married
Single
Separated
Common Law
Married
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10
Employment / Income Source
*
This field is required.
Employer Name / Source of Income
Position
Length of Employment
Gross monthly income (before taxes or deductions)
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11
Previous Employment / Income Source
Please fill this section out if your current Employment or Income source is under 2 years
Employer Name / Source of Income
Position
Length of Employment
Gross monthly income (before taxes or deductions)
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12
Are you receiving any other forms of Income? (Pensions, Child tax, Investments, Disability payments, ext.)
If so please enter source of income and what you receive monthly
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13
In the last 7 Years have you filed for Bankruptcy?
YES
NO
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14
In the last 7 Years have you filed for Consumer Proposal?
YES
NO
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15
In the last 7 Years have you had a Vehicle or asset re-possessed, taken back, by the bank either voluntary or involuntary?
YES
NO
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16
Social Insurance Number
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17
Take Photo of the front of your ID
Photo ID (drivers licence, Passport, ID card)
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18
Take Photo of the back of your ID
Photo ID (drivers licence, Passport, ID card)
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19
Take Photo of the front of your Status Card
If Applicable
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20
Take Photo of the back of your Status Card
If Applicable
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21
Upload Paystub if you have it handy
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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