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Why we are a Jayco Dealer!
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Apply For Financing
Please fill out the form below to apply for financing:
Credit Card Application
Applicant Application
First Name
*
Middle Initial
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Last Name
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Social Security Number
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Birth Date (mm/dd/yyyy)
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Home Phone
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Email
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Address
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City
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State
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Zip
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Which Unit are you Interested in Purchasing:
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* please enter the make, model and year above
Residential Status:
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Mortgage
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Other
Time at Address (Years/Months)
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Rent/Mortgage Payment
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U.S. Citizen? (Yes or No)
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Previous Full Address (if less than 2 years)
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Time at Previous Address (Year/Month)
Employer Name
*
Employment Type:
*
Employment
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Self-employed
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Other
Salary
*
Occupation
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Length of Employment (Years/Months)
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Work Phone Number
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Salary Type:
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Weekly
Bi-Weekly
Monthly
Annually
Previous Employer Name
Length of Employment (Years/Months)
Previous Employment Type:
Employed
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Self-employed
Military
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Is there a need for a Co-Applicant Application?
*
Yes
No
