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Camper Dan's offers On-Site Financing with up to 144 months to pay!*
*with approved credit
Feel free to pre-qualify by filling out our Online Credit Application.

Marital Status
 Married     Unmarried     Separated		 Email Address
First Name
 		Middle
 Last Name
Home Telephone #
 		Social Security #
 Date of Birth
Street Address
 Apt #
City
 State
 Zip Code

Rent   Lease    Buying    Own 		Monthly Payment 
$		 How Long At This Address
 

Previous Address (if less than two years at present)

  

Apt#
City
 State
 Zip Code
 

Nearest Relative Not Living With You

  

Relationship
Street Address
 Phone
 Apt #
City
 State
 Zip Code

Employment Information
 
Employer
 Position
Since (Month/Year)
 Gross Monthly Income
$		 Business Telephone
Previous Employer
 		From (Month/Year)
 To (Month/Year)

Financial Information

Additional Monthly Income
$		 Source of Additional Monthly Income*
 *=Alimony, child support and separate maintenance income need not be disclosed if you do not wish to have it considered as a basis of paying this obligation
Do you have a checking account?
Yes No  		 Do you have a savings account?
Yes No  
Bank/Credit Union

Complete this section if you are applying for JOINT CREDIT
 
Joint Applicant's First Name
 Middle
 Last Name
Home Telephone #
 Social Security #
 Date of Birth
Street Address
 Apt #
City
 State
 Zip Code
Employer
 Position
Since (Month/Year)
 Gross Monthly Income
$		 Business Telephone



Make/Model or type of Camper Dan's Vehicle You Are Applying For?
Selling Price
$		 Do You Have a Trade-In?
Yes     No


 

By completing and submitting this Application, you are applying for credit to purchase goods and/or services. You affirm that all of the information furnished on the application is, to the best of your knowledge, complete and accurate and agree that Camper Dan's RV Sales may investigate any of the information from any source they choose including obtaining a credit bureau report. You agree that this information may be used by Camper Dan's RV Sales to determine whether you qualify for other credit offers. If your application is approved, Camper Dan's RV Sales may from time to time supply information about your loan and credit to reporting agencies. You agree to give the Credit Union a security interest in the goods being purchased.

If you make a false statement or over value property for the purpose of influencing our decision on this application, then federal law provides you may be fined up to $1 million dollars and/or imprisoned up to 30 years.


 
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Camper Dan's · 5950 Lamar Road · Paris, Texas 75462 · Toll Free 1-866-885-7801 · Local: 903-785-4677 · Fax: 903-785-5206
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