Get Online Pre-Approval For Financing

No matter what your credit situation, our specialists can help tailor a finance package to fit your needs. Our experience with a wide variety of financial institutions helps us provide financing for all credit levels. To get started, just complete our secure online credit application. We'll help you get pre-approved, making it even easier for you to shop for your next vehicle.

Is this a single or joint application?

Single Applicant

Joint (Co-applicant)

Contact Info

Primary Applicant

First Name*

Last Name*

Middle Initial

Date of Birth

SIN

You are not required to provide your SIN. This information may help us to determine and offer more accurate loan terms.

Day Time Phone

Evening Phone

Email Address*

Address Line 1*

Address Line 2

City*

State*

Postal Code*

Rent or Own?*Rent Own

Living Here Since?

Monthly Payment / Rent*

Joint Co-applicant

First Name*

Last Name*

Middle Initial

Date of Birth

SIN

You are not required to provide your SIN. This information may help us to determine and offer more accurate loan terms.

Day Time Phone

Evening Phone

Email Address*

Address Line 1*

Address Line 2

City*

State*

Postal Code*

Rent or Own?*Rent Own

Living Here Since?

Monthly Payment / Rent*

Employment Info

Employer Name*

Job Title*

Employee Since

If less than 2 years, previous employer?

Monthly Income (before taxes)*

Additional Income Source

Additional Monthly Income

Purchase Info

Purchase Type*New Purchase New Lease Pre-Owned Purchase

Year*

Make*

Model*

Approximate Price*

Loan Amount*

Trade-In?*Yes No

Privacy Statement Please review the following privacy statement before submitting your application:

Guiding Principles:

In connection with your transaction, Regency Chrysler 100 Mile House 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 Regency Chrysler 100 Mile House 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.

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

Regency Chrysler 100 Mile House does not sell, rent or disclose e-mail addresses to other organizations.