Yamaha Platinum Dealer Perth WA - Motorcycles, Accessories, Servicing

Yamaha Motor Finance Loan Application

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Please give us as much information as possible to support your application.
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Once you have submitted the application an e-mail will be sent to you advising we have received it.

Thank you for your application. We look forward to doing business with you.

About the Loan

*Product Type:
*Loan Type:
*Term of Loan (months):
*Amount to be Financed:

Personal Information

Contact Details

*Title:

*First Name:

Middle Name:

*Surname:

*Date of Birth:

*Gender: Male Female

Marital Status:

*No. of Dependents:

*Driver Licence Number:

*Drivers Licence Version:

Driver Licence Expiry:

*Residential Status:

*Time at Current Address - Years:

*- Months:

*Home Phone
e.g. 09 123 4567

Mobile Phone:
e.g. 021 345 678

*Email Address:

Unit Number:

*Street Number:

*Street Name:

*Street Type:

*City/Suburb:

Employment

Monthly Income and Expenses

*Occupation:

*Employer Name:

*Business Phone
e.g. 09 123 4567

*Employment Status:

*Time at Current Employer - Years:

- Months:

*Net Monthly Income (from all sources, after tax):

*Mortgage / Rent / Board (per month):

*Other Financial Commitments (per month):

*Number of Credit Cards:

*I agree that I have read and understood the YMF Privacy Act Authorisation

The fields marked with an asterisk (*) are mandatory.

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