City Ford Credit Application

Fill out our secure online credit application to apply for credit for your new or pre-owned vehicle purchase at City Ford Edmonton 24/7 even in your PJs! We'll work with you to find the best financing available to suit your needs and budget. Visit our Financing Department page to learn more.

* Indicates required fields.

Sales Person/Contact

Sales Person or Contact Name

Desired Vehicle

Vehicle Status*

New Used Undecided

Vehicle Description

Applicant Type*

Primary Applicant Co-Applicant

Personal Information

First Name*

Middle Name

Last Name*

Date of Birth*

S.I.N.

Phone*

Current Address

Address* (Number and Street)

Suite No.

City*

Province*

Postal Code*

Duration*

Previous Address Details (If at current residence less than 2 years)

Address (Number and Street)

Suite No.

City

Province

Postal Code

Duration

Current Employment Details

Type*

Employer*

Occupation*

City*

Province*

Postal Code*

Phone *

Ext.

Duration*

Previous Employment Details (If at current employment less than 2 years)

Type

Employer

Occupation

City

Province

Postal Code

Phone

Ext.

Duration

Home/Mortgage Details

Home*

Market Value

Mortgage Amount

Mortgage Holder

Monthly Payment*

Income Details

Gross Income (Per Year)*

Additional Information

Comments / Feedback

Where did you hear about us?

Trade In

Year

Make

Model

Current KM or Hours

Consent

Please read the following consent, check the box below and click "Submit" to continue.

By checking this box, I consent to the collection, use and disclosure of my personal information as described in this paragraph. I agree that the personal information provided above may be used and disclosed by CITY FORD SALES LTD. and/or its agents or service providers (collectively, the "Dealer") as necessary to obtain credit, financial and related personal information (including a credit or consumer information report) about me from any credit bureau or credit reporting agency, and to advise me on credit availability in connection with vehicle purchase financing. Personal information I provide and credit information obtained may also be retained by Dealer and used to facilitate the application process should I subsequently choose to apply for credit through Dealer.

I, the Applicant, have read and understood all the terms and conditions of the above consent.