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Frank Galos
Route 1 Saco Maine 04072
Phone: 207-284-5986 · Fax: 207-286-2786

Please fill out all of the fields.

Credit Application

Date Of Birth (mm/dd/yyyy)
Last Name Or Business
First Name MI:
Social Security # Or (Tax Id #)
Email Address:
Mailing Address Po Box Number
City State Postal Code
Home Phone:
Cell Phone:
Mtg. Payment Or Rent
Time At Address: Years: Months:
Own:    Rent:    Family:   Other:   

Employed By Or Type Of Business Occupation
Address:


Area Code
Business Phone
Gross Annual Income (All Sources)
Time Employed Years
Months
Military Rank


Individual Credit

Applying for credit in your own name and relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit request.
Joint Credit

Applying for joint credit with another person.
Individual Credit
(with alimony)

Applying for credit in your own name but relying on income from alimony, child support or separate maintenance or on the income or assets of another person as a basis for repayment of the credit request.

Unless the box that follows is marked, I authorize the dealer and their affiliates to share and use information about me, including information in my application, with other entities that are related to them by common ownership or affiliated with them by common control.

If this box is marked, I direct the dealer and their affiliates not to share information about me (other than information on their own transactions or experience with me)

Privacy Notice

In connection with your transaction, Frank Galos may obtain information about you as described in this notice, which we handle as stated in this notice. This does not apply to information obtained in a non-financial transaction.

  1. We collect nonpublic personal information about you from the following sources:
    • Information we receive from you on applications or other forms in connection with a financial transaction;
    • Information about your transactions with us, our affiliates or others; and,
    • Information we receive from a consumer reporting agency.
  2. We may disclose all of the information we collect, as described above, to companies that perform marketing services or other functions on our behalf or to other finanicial 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 consumer, customer, or former customer, to non-affiliated third parties as permitted by law.
  4. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

CUSTOMER ACKNOWLEDGEMENT: I(we) acknowledge that I (we) received a copy of this notice on the date indicated below.

By submitting this application electronically I certify that the information in my application is complete and true. I authorize the dealer to investigate my credit and employment history, obtain credit reports, and release information about their credit experience with me. If an account is created, I authorize the obtaining of credit reports for purposes of reviewing or taking collection action on the account, or for other legitimate purposes associated with the account.



Sales: Monday - Friday 8:00 to 8:00, Saturday 9:00 to 5:00
Service: Monday - Friday 7:30 to 4:30
Body Shop: Monday - Friday 8:00 to 4:30
Parts: Monday - Friday 7:30 to 4:30
 Route 1
Saco Maine 04072
phone: 207-284-5986
fax: 207-286-2786