Stroud Motorsports     Business 209 South
2730 Hamilton East
Stroudsburg, PA 18360

Phone: 570-421-3385

Fax:     570-421-3973

Contact Us

Hours:

Sales, Parts & Service:

Tuesday - Friday   9-6
Saturday  9-3
  

 

 

Credit Application Form

All units must be picked up from our store for credit approval and must be a resident of the USA.

This is a application for credit from Stroudmotorsports. Please fill out as much information as possible. If you have any questions, please contact us by email or phone. All information is kept confidential is not stored on our server. Co-signer or co-applicant information is optional, but if you have limited credit history a co-signer may help. You must be 18 or older to qualify for credit.

 
Applicant Information
  Please provide the following information:
PLEASE GIVE AS MUCH INFORMATION AS POSSIBLE.
Name
Social Security #  
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Home Phone
FAX
E-mail   (sample@microsoft.com)
Date of Birth  
How Long at Present Address  
Type Or Residence
Previous Address if less then 2 years
How Long at Previous Address
Name, Address and Phone Number of a relative not living with you

Please also list relationship

  
Drivers License Number  
Employer  
Employer Street address
Address (cont.)
Employer City
Employer State/Province
Employer Zip/Postal code
Work Phone  
How Long at Job  
Occupation
Gross Monthly Income (before taxes)  
Additional Income Source
Gross Monthly Income Additional Source
Previous Employment if less then 2 years
How Long at Previous Employment
   
What do you wish to purchase ?  
How much down ?
How many months ?
   
Comments

Co-Signer or Co-Applicant Information (Optional)
  Please provide the following  information:    
Name
Social Security #
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Home Phone
FAX
E-mail
Date of Birth
How Long at Present Address
Type Or Residence
Previous Address if less then 2 years
How Long at Previous Address
Name, Address and Phone Number of a relative not living with you
Drivers License Number
Employer
Employer Street address
Address (cont.)
Employer City
Employer State/Province
Employer Zip/Postal code
Work Phone
How Long at Job
Occupation
Gross Monthly Income (before taxes)
Additional Income Source
Gross Monthly Income Additional Source
Previous Employment if less then 2 years
How Long at Previous Employment
   
Comments
"I", "me" or "my" refers to each applicant or co-signer. "You" or "Yours" refers to Stroudmotorsports or one of its financial sources.
By pressing the submit button I certify that all statements on this application are true, correct and complete. I authorize you and others on your behalf to gather and collect information about me, which relates to this credit application. This information includes, but not limited to, consumer reports from consumer reporting agencies, and written and verbal contacts with other financial institutions and references. I also understand that this does not guarantee approval for credit.
 

 

 

  
   

Copyright © 2005 Stroud Motorsports