PRE-APPROVED AUTO LOAN

Bender Nissan
3000 Mabry Drive
Clovis, NM 88101
575-762-3701
bendernissan.com
If you have a pre-approved auto loan from your bank, credit union, agency or any institutional lender that you want to use toward purchasing your vehicle from Bender Nissan, fill out the form below.
LOAN INFORMATION Print
 
APPROVED APPLICANT
Name Prefix: 
First Name: 
Middle Name: 
Last Name: 
Name Suffix: 
Email Address: 
Day-time Phone: 
Evening Phone: 
Mobile Phone: 
Work Phone: 
Birth Date (dd/mm/yyyy): 
Social Security#: 
 
LENDER
Bank/Institution: 
Account/Ref. #: 
Telephone: 
Approved Amount $: 
Approved Date: 
Approved Expires: 
 
APPLICANT ADDRESS
Address: 
City: 
State: 
Zip Code: 
VEHICLE INFORMATION
 
VEHICLE WANTED
StockID: 
VIN: 
Type: 
Year: 
Make: 
Model: 
Trim: 
Color: 
Budget Amount $: 
Buy Time Frame: 
 
TRADE-IN VEHICLE
VIN: 
Year: 
Make: 
Model: 
Trim: 
Miles: 
Color: 
Finance Company: 
Monthly Payment $: 
OPT-IN REQUIRED: 
 
By submitting this form to Bender Nissan, 3000 Mabry Drive, Clovis, NM 88101, 575-762-3701, you certify that the information provided is complete and accurate to the best of your knowledge; and you authorize us to use this information for purposes pertaining to this submission.
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