Credit Check Application

Name

First Name

Last Name

Birthday

MM

DD

YYYY

Social Security Number

We work T.I.N numbers.

Phone Number

(###)

###

####

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Desired Vehicle

Give us your top 3 options of what you want, either specific vehicles or type of vehicle, (IE: BMW,SUV, Convertible, Spaceship ETC)

Instagram Name

Email Address

How did you hear about us?

If someone referred you please put their name so we can show them some love! You may also provide the instagram handle.

Additional Notes

Tell us a bit about your situation and what you hope to accomplish. Help us make this the best experience you've ever had. Don't be shy, the more information the better we can serve you.

Authorization to run credit

You understand that by clicking on the I AGREE button immediately following this notice, you are providing 'written instructions' to Nissan of Costa Mesa, Nissan of Mission Hills and any affiliated dealers , on behalf of Direct Plugs, LLC, under the Fair Credit Reporting Act authorizing said dealers to obtain personal consumer reports from one or more credit reporting agencies. You authorize said dealers to obtain such information for the purpose of attempting to receive approvals from affiliated banks and lenders.

I Agree

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