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Contact Us
461 James Blvd., Gander, NL A1V 1W8
Tel.: 709-256-3415
Fax: 709-256-7082
Toll-Free: 877-256-3415
info@simmonshonda.com
Financing
Items marked with a (
*
) are requird items.
Intended Purchase Details
Year:
*
Make:
*
Model:
*
Price:
*
Stock#
*
Applicant Details
First
Name:
*
Mr
Miss
Mrs
Middle Name:
*
Last Name:
*
Marital Status:
*
Married
Unmarried
Date Of Birth:
*
(MM/DD/YYYY)
SIN:
*
Driver's License#:
*
Prefered Language:
*
English
French
German
Home Phone:
*
Cell Phone:
*
Applicant Address Information
Address Type:
*
Own
Rent
Other
Email Address:
*
Address#:
*
Street Name:
*
Street Type:
*
Abbey
Acres
Avenue(English)
Campus
Centrr(English)
Circle
Gardens
Highway
Hill
Landing
Mountain
Plaza
Village
Wood
Apartment#:
*
City:
*
Province:
*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
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Postal Code:
*
How Long at Current address?
Years:
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Months:
*
0
1
2
3
4
5
6
7
8
9
10
11
References
Name
Relation
Address
Home Phone
Friend
Father
Mother
colleague
Friend
Father
Mother
colleague
Friend
Father
Mother
colleague
About Us
New Cars
Used Cars
Powerhouse
Services
Our Team
Financing
Contact Us
Address
461 James Blvd., Gander
NL A1V 1W8
Telephone
(709) 256-3415
(709) 256-7082 fax
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