Apply for Financing for your Rims and Tires

Vehicle Information

Vehicle Year *
Make *
Model *
Price (Do not use $ sign) *
Vehicle Condition *
Loan Amount (Do not use $ sign) *

Basic Information

First Name *
Last Name *
Email Address *
Primary Phone Number *
Date Of Birth (mm/dd/yyyy)*
SIN (Social Insurance Number)

Residence Information

Street Address *
City *
Province *
Postal Code *
Resident Type *
Time at Address (Ex. 3 years 0 months) *
Monthly Payment (Do not use $ sign) *

Employment Information

Employer Name *
Employed for (Ex. 3 years 0 months) *
Address *
City *
Province *
Postal Code *
Occupation / Job Title *
Monthly Income (Do not use $ sign) *
Work Phone *

I understand that by submitting this application I am authorizing credit linx canada and other financial institutions to process my application and obtain my credit report if necessary.