Mazda of Everett, Everett, WA


Sales: 888-886-1684 \| Parts: 866-540-1753 \| Service: 866-540-1756

Any Vehicle not listed here can be obtained on an expedited basis through out extensive delivery service. Call Joe Garcia or George Leckenby for details! 1-888-886-1684!

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10630 Evergreen Way S.
Everett, Washington

Sales: 888-886-1684
Parts: 866-540-1753
Service: 866-540-1756

Mazda Finance Application

Fill the form below and we will get back to you as soon as possible. Fields marked by * are required.

1.	Full Name (First, Middle, Last) *
2.	E-mail address *
3.	Full Home Address *
4.	Previous Address (If time at current is less than 2 years)
5.	Home Phone *
6.	Business Phone
7.	Date of Birth *
8.	Social Security Number *
9.	Current Employer Name and Address *
10.	Occupation *
11.	Time on Job *
12.	Gross Yearly Income *
13.	Previous Employer (If time at current employer less than 2 years)
14.	Other Source of Income
15.	Other Income (Yearly)

Note: *Alimony, child support, or separate maintenance income need not be revealed if you do not wish it considered as a basis for repaying the obligation. For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. I further certify that I have attained The Age of Majority. I authorize you to check my credit and employment history and to provide and/or obtain information about credit experiences with me.

PLEASE READ THE BELOW PRIVACY NOTICE BEFORE PRESSING SUBMIT

Privacy Notice

In connection with your transaction, the dealership may obtain information about you as described in this notice.

1. We collect nonpublic personal information about you from the following sources:
Information we receive from you on applications or other forms;
Information about your transactions with us, our affiliates or others; and,
Information we receive from consumer reporting agency (e.g., credit bureau).

2. We may disclose all of the information we collect, as described above, to companies that perform marketing services on our behalf or to financial institutions with whom we have joint marketing agreements. We may make such disclosures about you as a consumer, customer, or former customer.

3. We may also disclose nonpublic personal information about you as a customer, customer for former customer to non-affiliated third parties as permitted by law.

4. We restrict access to nonpublic personal information about you to those dealership personnel who need to know that information in order to determine your eligibility for products and services, and to provide you with products and services, and to those who are subject to confidentiality provisions and restrictions that prohibit use of information beyond the performance of specified services. To guard your nonpublic personal information we maintain physical, electronic, and procedural safeguards that comply with federal standards.

By Pressing Submit I agree I have read and accept the above notice(s).