Application Type *

Sales Rep

Personal Info

First Name *

Last Name *

Citizenship Status *

Date of birth *

SSN *

Address *

Apt/ Suite

Postal code *

City *

State *

Residence Status

Residence Status *

Years at Residence *

Months at Residence *

Monthly Housing Payment *

Contact Info

Email *

Verify correct customer email. Billing statements and contracting documents are sent here.

Home/ Cell Phone *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from SDG. Message & data rates may apply. You can reply STOP to unsubscribe at any time.

Income & Employment

Employment Status *

Gross Monthly Income *

Job Title *

Employer *

Years at Job *

Months at Job *

Work Phone Number *

Any Other Income

Captcha

Terms

By checking this box you have read and agreed to the following: General Application Disclosures. Customer ID Verification Acknowledgment: You understand that by clicking Submit immediately following this notice, you are providing 'written instructions' under the Fair Credit Reporting Act, authorizing Stryker Dealership Group to obtain information from your personal credit profile and other information from Equifax, TransUnion, and/or Experian to conduct a pre-qualification for credit. This process will not affect my credit score. I also give my permission for my contact information to be given to a third party lender, if applicable.