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OAKLEY
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OGIO
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SONOMA CYCLE INFORMATION
POLARIS
OGIO 9900 MX GEAR BAG







Credit Pre-Qualification

Applicant
Information
Name: Email Address:
Date of Birth:
mm/dd/yyyy
Social Security:
999-99-9999
Home Phone: Work Phone:
Driver's License:
Number: Expiration Date: State:
Address Information
Current Address:
Street:
City: State: Zip:
Monthly Payment or Rent: How Long?:
Previous Address:
Street:
City: State: Zip:
Monthly Payment or Rent: How Long?:
Employer Information
Current Employer:
Street: How Long?:
City: State: Zip:
Phone: Email: Fax:
Position:
Annual Income:
Previous Employer:
Street: How Long?:
City: State: Zip:
Phone: Email: Fax:
Position:
Annual Income:
Reference Information
Name of a relative not residing with you:
Street:
City: State: Zip:
Phone: Relation:
Add Co-Applicant
Applicant
Credit Cards
Description: Account Number: Balance: Monthly Payment:  
Add Credit Card    
Auto Loans
Description: Account Number: Balance: Monthly Payment:  
Add Auto Loan    
Other Loans, Debts, or Obiligations
Description: Account Number: Balance: Monthly Payment:  
Add Other Debts or Loans    
Mortgage Company
Add Mortgage 
Other Assets or Sources of Income
Description: Amount/Month or Value:  
Add Income Source or Asset  
Vehicle Interested In Buying
Year: Make: Model: Price:  
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Add Vehicle    
Signatures
I authorize Sonoma Cycle to verify the information provided on this form as to my credit.
Signature of Applicant
Date:   Saturday, September 04, 2010