Dealership Financing

We Want to be Your Finance Broker!

Contact Info

Salutation Salutationis

First Name required First Nameis required

Middle Name Middle Nameis

Last Name required Last Nameis required

Date Of Birth Date Of Birthis

Marital Status Marital Statusis

Social Insurance Social Insuranceis

Gender Genderis

Driver's Licence No. Driver's Licence No.is

Expiry Date Expiry Dateis

How should we reach you?

Preferred Method of Contact?

Phone Text Email Any

Phone Number Phone Numberis

Mobile Phone Number Mobile Phone Numberis

Work Phone Number Work Phone Numberis

E-Mail Address required E-Mail Addressis required

Address Type Address Typeis

Street/RR# Street/RR#is

Street or Station Name

Street Type Street Typeis

Street Direction Street Directionis

Apt/Unit# Apt/Unit#is

Province Provinceis

City/Town City/Townis

Postal Code Postal Codeis

Years at Address Years at Address is

Months at Address Months at Addressis

Residential Status Residential Statusis

Market Value (if owned) Market Value (if owned)Must be numeric

Mortgage Balance Mortgage BalanceMust be numeric

Monthly Rent/Mort. Monthly Rent/Mort.Must be numeric

Mortgage Co. OR Landlord Name Mortgage Co. OR Landlord Nameis

Landlord Phone No. Landlord Phone No.is

Previous Address Type Previous Address Typeis

Previous Street/RR# Previous Street/RR#is

Previous Street or Station Name Previous Street or Station Nameis

Previous Street Type Previous Street Typeis

Previous Street Direction Previous Street Directionis

Previous Apt/Unit# Previous Apt/Unit#is

Province

City/Town City/Townis

Previous Postal Code Previous Postal Codeis

Years at Previous Address Years at Previous Addressis

Months at Previous Address Months at Previous Addressis

Dealership Information

Employment Status Employment Statusis

Employment Type Employment Typeis

Current Employer Current Employeris

Years Employed Years Employedis

Months Employed Months Employedis

Occupation Occupationis

Work Contact Phone Work Contact Phoneis

Work Contact Ext. Work Contact Ext.is

Address Type Address Typeis

Street/RR# Street/RR#is

Street or Station Name Street or Station Nameis

Street Type Street Typeis

Street Direction Street Directionis

Employer Unit# Employer Unit#is

Province

City/Town City/Town

Postal Code Postal Codeis

Income Amount Income Amount Must be numeric

Income Frequency Income Frequency is

Other Income Amount Other Income Amount Must be numeric

Other Income Frequency Other Income Frequency is

Other Income Type Other Income Type is

Other Income Description Other Income Description is

Previous Emp Status Previous Emp Statusis

Previous Emp Type Previous Emp Typeis

Previous Employer Previous Employeris

Years Employed Years Employedis

Months Employed Months Employedis

Previous Occupation Previous Occupationis

Previous Work Contact Phone Previous Work Contact Phoneis

Previous Work Contact Ext. Previous Work Contact Ext.is

Address Type Address Typeis

Street/RR# Street/RR#is

Street or Station Name Street or Station Nameis

Street Type Street Typeis

Street Direction Street Directionis

Employer Unit# Employer Unit#is

Province

City/Town City/Townis

Postal Code Postal Codeis

Financed Amount Financed AmountMust be numeric

Term Termis

Cash Down Cash DownMust be numeric

Monthly Payment Monthly PaymentMust be numeric

Make Makeis

Model Modelis

Trim Trimis

Year Yearis

Kilometers KilometersMust be numeric

VIN VINis

Colour Colouris

Condition Conditionis

Asset Type Asset Typeis

Asset Classification Asset Classificationis

Condition Conditionis

Make Makeis

Model Modelis

Year Yearis

VIN / HIN / Serial No VIN / HIN / Serial No

Stock Number Stock Number

Offer OfferMust be numeric

Make Makeis

Model Modelis

Trim Trimis

Colour Colouris

Year (Min) Year (Min)is

Year (Max) Year (Max)is

Price (Min) Price (Min)is

Price (Max) Price (Max)is

Payment Amount Payment Amountis

Payment Frequency Payment Frequencyis

Down Payment Down PaymentMust be numeric

Request Another Vehicle

Make Makeis

Model Modelis

Year Yearis

Kilometers Kilometers Must be numeric

Please Select Service Items Required:

Service Notes Service Notesis

Service Date Requested Service Date Requestedis

Service Time Earliest Service Time Earliestis

Service Time Latest Service Time Latestis

How did you hear about us?

Please let us know how you heard about us.

Referral Source Please take a moment to tell us how you heard about us.

Referral Source (Other) Referral Source (Other)is

Comments or Questions

Customer Commentsis

Disclosure & Privacy Notice

Please Confirm:

Add Co-Applicant?

Yes! I would like to receive special offers and deals from Leisureway Financial.
Please uncheck this box if you do not wish to receive future emails from us.

Leisureway Financial is committed to respecting the privacy of individuals and recognizes a need for the appropriate management and protection of any personal information that you agree to provide us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request.

Leisureway Financial
1838 Ashburnham Drive
Peterborough, ON, K9L 1P9

1.833.772.7759

Social

Find Us

LeisureWay.ca is dedicated to privacy, security, and service. By using this service, you accept the terms of our Visitor Agreement and Privacy Policy.
© Copyright 1996-2023 Leisureway Financial LotRanger Inc. All rights reserved. — LeisureWay.ca ™ is a registered trademark of Electric Ink Innovations Inc. used under licence by Lot Ranger Inc.

Sorry This page is not formatted for printing.

If you believe you are seeing this message in error,
please contact support@lotranger.com

We Want to be Your Finance Broker!

Contact Info

How should we reach you?

Dealership Information

Add A Model

How did you hear about us?

Please let us know how you heard about us.

Comments or Questions

Disclosure & Privacy Notice

Social

Find Us