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Please complete the following application form to apply for finance through Wayne Timms Motors.

Note: All fields marked with an asterisk (*) are required to enable us to start processing your application.

Applicant Information

First Name(s)*

Last Name*

Date of Birth* (dd-mm-yyyy)


Email Address*

Drivers License No.*

Version No.*

Drivers License Class.*
Best Daytime Phone

Mobile Phone

Home Address*




Years lived at Address *

Marital Status*

Employment Type*

Finance Details

Finance Amount*

Vehicle Description*


Before completing this application it is a requirement that you read and accept the below Privacy Act Statement.

The Privacy Act 1993

I/we authorise Wayne Timms Motors* to collect, retain and use the personal information about me/us, for the purposes of:

  • Assessing my/our credit worthiness;
  • Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing Wayne Timms Motors’s rights therunder;
  • Marketing and/or informing me/us about the goods and services provided by Wayne Timms Motors

I/we authorise Wayne Timms Motors to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal, financial and commercial information about me/us for the said purposes.

I/we authorise Wayne Timms Motors to provide this information:

  • To any person for the foregoing purposes;
  • to any employees and agents of Wayne Timms Motors and/or any other person, in any ordinary course of business, for any of the foregoing purposes;
  • To credit agencies for the purpose of maintaining proper or effective records.

I/we acknowledge that if i/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that pursant to the Privacy Act 1993, I/we have a right of access to information collected by Wayne Timms Motors about me/us and to request that this information be corrected. The information will be held at the office of Wayne Timms Motors, Christchurch or the registered offices of any party nominated by Wayne Timms Motors.

*Wayne Timms Motors and other associated third parties

To verify your acceptance of the above Privacy act statement please enter the word ACCEPT into the text box below and click the submit button.

Type the word ACCEPT to continue        Apply for Finance

2010 Volkswagen Scirocco

$13,999 All Inclusive

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