| The information requested below will be used solely to "pre-qualify" your purchase
of a boat from International Marine & Auto Investment, Inc. You will not be asked for your Social Security or Drivers License numbers
at this time. This information is strictly confidential and will not be used for any solicitation or advertisements. We will not
call your employer to verify employment. Once the information is received we will assign you to one of our Sales Professionals
and they will call or email you with the results. |
| Contact Information |
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(*) required |
| First/Last Name: (*) |
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| Address: |
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| City/State/Zip |
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| Phone: (*) |
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| Email: (*) |
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| Employer Information |
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| Employer Name: |
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| Position: |
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| Address: |
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| City/State/Zip |
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| Self Employed: |
No No |
| Years at Employer: |
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| Income: |
per |
| Work Phone: |
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| Credit Information |
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Check all boxes that apply:
Bankruptcy Tax
Lien Divorce
Judgment
Foreclosure Slow Pay Collections Repossession |
| Boat Information |
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| Boat Type: |
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| Boat Year: |
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| Make: |
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| Model: |
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| Down Payment: |
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| Monthly Payment: |
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| If you have contacted us before, please check which associate you have spoken with previously so we can direct this email to the right person.
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| Found us: |
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Comments or Questions:
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