Contact Info

First Name*

Last Name*

Middle Initial

Email Address*

Phone #*

Date of Birth*

Social Security #*

Street Address*

Address line 2

City*

State*

Zip Code*

Rent or Own?*

Monthly Rent/Mortgage*

Date of Residency*

This is the date you started living at your current residence

If less than 2 years, Previous Address

Previous City

Previous State

Previous Zip

Employment info

Employer Name*

Employer Phone #

Job Title*

Date of Employment*

Gross Monthly Income*

Additional Income

If less than 2 years, previous employer?

Previous Job Title

Previous Work Phone Number

How Long at Previous Job

Previous Employer's Address

Tell us about the vehicle you want

Trade-In?*

Do you owe on this vehicle?*

How Much?

Loan Provider

How should we contact you?*

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*

[Optional] I consent to receiving telemarketing calls or texts at this number using an automatic telephone dialing system by, or on behalf of, Hyundai and its authorized dealers. I understand I do not have to consent in order to submit a lead, receive contact from the dealer, or purchase any products or services. Carrier charges may apply. By submitting your information, you agree to the sharing of your information between Hyundai Motor America and its authorized dealers.

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In connection with your transaction, CMA's Hyundai of Winchester 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 CMA's Hyundai of Winchester 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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