Online Credit Application

Western Auto Sales is committed to keeping your information private and secure. This online application form uses SSL encryption to ensure you data is not viewable to others when it is submitted.

All fields are required.

Applicant Information

First Name

Initial (Optional)

Last Name

Date of Birth

SIN

Phone Number

Address Information

Address

City

Province

Postal Code

Do you rent or own your home?

Monthly Rent or Mortgage Amount

Employment Information

Employer

Gross Monthly Income

I/we certify that each of the statements made and answers given in this credit application are true and correct and is made for the purpose of inducing the financing of the purchase of a motor vehicle. I/we authorize the obtaining of a consumer report to be used in evaluating this application and the obtaining and exchanging of credit information from and with other creditors and consumer reporting agencies.