Contact Info

First Name*

Last Name*

Email Address*

Phone #*

Street Address*

Address line 2

City*

State*

Zip Code*

Date of Residency*

This is the date you started living at your current residence

Monthly Rent/Mortgage*

Social Security #*

Date of Birth*

Employment info

Employer Name*

Employer Phone #*

Employer Address*

Employer City*

Employer State*

Employer Zip Code*

Position or Job Title*

Gross Monthly Income*

Additional Income

Date of Employment*

Tell us about the vehicle you want

Year

Make

Model

Trim

Total Loan Amount*

Preferred Contact

I agree to give permission for the above applicant(s) Consumer Credit Report(s) to be obtained, at no cost to me, in order to help determine the types and extent of financing which are available*

In connection with your transaction, Brigal Auto Sales may acquire information about you as described in this notice, which we handle as stated in this notice.

We may collect personally identifiable information such as name, postal address, telephone number, e-mail address, social security number, date of birth, etc. This personal information is collected and used by Brigal Auto Sales Credit Application staff for the purpose of facilitating a relationship or business transaction.

Our website resides behind a firewall and uses SSL (Secure Sockets Layer, the industry-standard security protocol used to communicate with browsers) to transmit personal information. Data is strongly encrypted during transmission to ensure that personal and payment information is secure. Industry-standard data encryption techniques are used to protect personal information.

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