Crossroads Auto Mall

Crossroads Auto Mall

"Where our customers send their friends"

Easy Customer Application

* Transactions on this site are protected with 256-bit secure encryption.

At Crossroads Auto Mall, were committed to getting

you into a quality used vehicle, regardless of your

credit situation.

Complete this form to pre-qualify for a loan today.

* Required Information	Buyers Information
* First Name:
* Last Name:
* Date of Birth: (mm/dd/yy)
* Home Phone
Cell Phone
* Marital Status:
* Email:
* Address:
* City:
* State:
* How long have you lived there?	Years: Months:
* Residence:
* Residency changes in the last two years
* How long have you lived in Oklahoma?
	Income Information
* Current Employer:
* Employer's Phone:
* How long have you worked there?	Years: Months:
* Estimated (gross) monthly income:
Additional Income:
* Employment Changes in the last two years
* Have you had any employment lapses in the last two years? (i.e. time off work)
	Additional Information
* Down Payment Amount?
Do you have a trade in?	Year Make Model
Vehicle interested in purchasing	Vehicle (i.e. 01 Tahoe) Stock # (if known)
Have you ever purchased a vehicle from us?	When?
Have you successfully paid off a vehicle purchased at another local dealer?	When? From who?
* have you ever had a vehicle repossessed?
* Are you currently in a bankruptcy plan?
How did you hear about Crossroads Auto Mall?
Best Phone # to contact you:
Best time of day to call
Comments:

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