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Step
1
of
3
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Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Age
(Required)
Under 24
24-34
35-44
45-54
55-60
61 and over
What is your current employment status?
(Required)
Permanent
Contract
Self-Employed
Retired
Temporary
Unemployed
How many years have you been employed?
(Required)
Less than 1 year
1-2 years
3-4 years
5 years or more
What is your currently monthly income?
(Required)
Less than $5,000
$5,000 - $7,499
$7,500 - $9,999
$10,000 - $14,999
$15,000 or more
State your total monthly expenses, including credit card bills, loans from credit unions, personal loans, or any other type of loans.
(Required)
0 Loans
1-2 loans
3 or more loans
What is the age of the vehicle you are interested in?
(Required)
1-2 years
3-5 years
Over 5 years
How much are willing to you put down?
(Required)
Less than 15% of the vehicle cost
15-20% of the vehicle cost
More than 20% of the vehicle cost
How soon will you be fully prepared to secure the vehicle, including paperwork and deposit?
(Required)
Ready now
2 weeks
1 month
2 months
Need more information first
I’m not sure yet
Do you currently have business with The Maritime Financial Group?
(Required)
Yes
No
Do you have a Financial Advisor at Maritime?
(Required)
Yes
No
Financial Advisor Name
(Required)
